Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Heather M Shoup, CNP

Individual provider Registered Nurse · NPI 1407251523

Heather M Shoup, CNP is a Nurse Practitioner in Dayton, Ohio. Qualified in 2014, 12 years ago. Practices with Dayton Physicians LLC, a 40-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
12
Licensed in
OH
In the registry since
2014
Specialties on file
3
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

2350 Miami Valley Dr Ste 500
Dayton, OH 45459-4780
Phone: (937) 293-1622
Fax: (937) 245-6308
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9000 N Main St Ste 200, Englewood, OH 45415-1165 — (937) 293-1622

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence APRN.CNP.16815 (OH)
Registered Nurse Taxonomy 163W00000X · Licence RN317714 (OH)
Nurse Practitioner Taxonomy 363L00000X · Licence COA16815NP (OH)

Record details

NPI number1407251523
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorYes
NPI enumeratedOctober 31, 2014
Last updated in NPPESJanuary 7, 2022
Certification dateJanuary 7, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Dayton Physicians Llc — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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