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

Shulammite Fanegan, NP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1912207408

Shulammite Fanegan, NP is a Nurse Practitioner in Cincinnati, Ohio. Qualified in 2021, 5 years ago. Practices with Mt Airy Development, LLC, a 10-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
5
Licensed in
OH
In the registry since
2010
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

2446 Kipling Ave
Cincinnati, OH 45239-6650
Phone: (513) 866-2220
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence APRN.NP.0029627 (OH)

Record details

NPI number1912207408
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedOctober 30, 2010
Last updated in NPPESMarch 23, 2023
Certification dateMarch 23, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Mt. Airy Development, Llc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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