Kathleen Shupe

Physician • Richfield, OH

Deactivated NPI 1538755392 Deactivated in NPPES Female Practitioner

Practice location in NPPES

4409 Black Rd
Richfield, OH 442869631

Phone: 3306593823

Location details and other listings

Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

This NPI Is Deactivated in NPPES

NPPES lists this NPI as deactivated as of January 29, 2026; the reason is not published. The records below are historical. They do not show whether Kathleen Shupe currently practices or holds a license; check the state medical board for current license status.

NPI Enumeration Date December 16, 2020

NPI Deactivation Date January 29, 2026

NPI Active Period 2020 – 2026

Practice Location & Contact Primary Location

Practice Address

4409 Black Rd

Richfield, OH 442869631

Telephone 3306593823

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What Public CMS Data Show

These CMS figures cover limited populations and published records; they are not quality ratings or medical advice.

Physician: NPPES taxonomy is a reported classification, not proof of board certification.

NPI first issued

2020

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Compared with the same specialty in Richfield and Ohio

Comparisons are not shown because NPPES lists this NPI as deactivated.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Non-emergency Medical Transport (VAN) Primary Specialty

NUCC Taxonomy Code: 343900000X

A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.

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Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events

⚠️

NPI Profile Deactivated January 29, 2026

NPPES lists this NPI as deactivated as of January 29, 2026; the reason is not published.

✅

NPI Profile Active December 16, 2020

NPI status registered as active in NPPES database

📍

Practice Location (Initial Record) December 16, 2020

Registered at 4409 BLACK RD, RICHFIELD, OH 442869631 (Tel: 3306593823)

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Business Mailing Address (Initial Record) December 16, 2020

Registered at 4409 BLACK RD, RICHFIELD, OH 442869631 (Tel: 3306593823)

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Provider Name / Credentials (Initial Record) December 16, 2020

Recorded as KATHLEEN SHUPE

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 16, 2020

Non-emergency Medical Transport (VAN)

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Initial NPI Registration & Enumeration December 16, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1538755392

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: December 16, 2020

Last Update: December 16, 2020

Deactivation Date: January 29, 2026

Update or Correct Profile

Mailing Address

4409 Black Rd

Richfield, OH 442869631

Phone: 3306593823

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.