JASMINE NOELINE SHAFTO


Address: 5400 Edalbert Dr., Cincinnati, KY 45239-7695
Phone: 5137413100

JASMINE NOELINE SHAFTO (NPI# 1336177856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336177856
Entity Type Individual
Full Name JASMINE NOELINE SHAFTO
Other Name JASMINE NOELINE LOPEZ
Credential APRN CNS
Practice Address 5400 Edalbert Dr.
Cincinnati
KY 45239-7695
Mailing Address 5400 Edalbert Dr
Cincinnati
KY 45239-7695
Practice Telephone 5137413100
Practice Fax Number 5137415686
Mailing Telephone 5137413100
Mailing Fax Number 5137415686
Enumeration Date 2006-06-30
Last Update Date 2017-07-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
3011307 KY Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
KY 7100468360 05
KY MEDICARE GROUP NUMBER 184607 01

Office Location

Street Address 5400 EDALBERT DR.
City CINCINNATI
State KY
Zip Code 45239-7695

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1063939262 Alexandra Cunningham Registered Nurse 5730 Colerain Ave., Cincinnati, OH 45239 2017-08-28
1598289803 Jeanise D Randolph Case Manager/Care Coordinator 3425 North Bend Suite F, Cincinnati, OH 45239 2017-07-28
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1841727625 Danita Marie White Counselor 5887 Montfort Hills Ave. #3, Cincinnati, OH 45239 2017-05-11
1801249867 Regina Gullette Counselor 5980 Colerain Ave, 36, Cincinnati, OH 45239 2016-07-14
1811393051 Angela Bien Psychologist 3420 Banning Road, Cincinnati, OH 45239 2014-11-17
1568895076 Shavonne Noble Registered Nurse 1830 Sundale Ave, Cincinnati, OH 45239 2013-08-20
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427658368 Greta Katherine Heckmann Nurse Practitioner 2508 Beechmont Ave Apt 43, Cincinnati, OH 45230-1240 2020-10-29
1528670346 Mental Health Healing Nurse Practitioner 2020 Anderson Ferry Rd, Cincinnati, OH 45238-3371 2020-08-21
1033744677 Melanie Anabel Grynsztejn-lampl Nurse Practitioner 11410 Terwilligers Valley Ln, Cincinnati, OH 45249-2759 2020-03-04
1497136394 Robert Frey Nurse Practitioner 2233 Wheeler St, Cincinnati, OH 45219-1219 2015-06-16
1154744290 Misty Marea Richmond Nurse Practitioner 6757 Tarawa Dr, Cincinnati, OH 45224-1152 2014-01-24
1780924746 Benjamin David List Nurse Practitioner 1501 Madison Rd., Cincinnati, OH 45206-2223 2013-02-27
1245488089 Sharen E Cooper Nurse Practitioner 125 William Howard Taft Rd, Cincinnati, OH 45219-2103 2008-09-05
1649882200 Kadori Ngirabakunzi Nurse Practitioner 532 Maxwell Ave, Cincinnati, OH 45219-2408 2020-08-17
1760093512 Vivian Phu Nurse Practitioner 5050 Madison Rd, Cincinnati, OH 45227-1491 2020-08-14
1538791983 Shantel Zwissler Nurse Practitioner 5400 Edalbert Drive, Cincinnati, OH 45239-7695 2020-02-04
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Competitor

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City CINCINNATI
Zip Code 45239

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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