Healthcare Provider Details

I. General information

NPI: 1699288357
Provider Name (Legal Business Name): ERICA ROCHELLE SHUMWAY APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/15/2017
Last Update Date: 09/12/2025
Certification Date: 09/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

332 15TH ST
ASHLAND KY
41101-7626
US

IV. Provider business mailing address

332 15TH ST
ASHLAND KY
41101-7626
US

V. Phone/Fax

Practice location:
  • Phone: 606-420-0204
  • Fax: 606-420-0296
Mailing address:
  • Phone: 606-371-9945
  • Fax: 606-388-2024

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.421894
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number1125179
License Number StateKY
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.022022
License Number StateOH
# 4
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number3011870
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: