Shawn-Amy Rae Bazargan-Lari, REGISTERED NURSE

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

511807 Issued in NY

Practice address

475 Watervliet Shaker Rd
Latham, NY 12110-4622

Phone

(518) 785-1341

NPI assigned

Mar 20, 2019

Last updated

Mar 20, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• North Colonie Central School District

  • School Registered Nurse
  • Latham, NY
  • NPI 1114687811
  NPD (past)
• North Colonie Central School District

  • Pediatric Skilled Nursing Facility
  • Latham, NY
  • NPI 1235597659
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553040000000",
    "number": "1003376898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 FIDDLERS LN",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121105343",
            "telephone_number": "518-785-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 WATERVLIET SHAKER RD",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121104622",
            "telephone_number": "518-785-1341"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Southgate Rd",
            "address_purpose": "LOCATION",
            "city": "Loudonville",
            "state": "NY",
            "postal_code": "122111132",
            "country_code": "US",
            "telephone_number": "518-785-6607 x4210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAZARGAN-LARI",
        "first_name": "SHAWN-AMY",
        "middle_name": "RAE",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-20",
        "last_updated": "2019-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "511807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brent Jude Bashaw, RPH
• Dominique Bassallo, OT
• Lisa Battisti, RD
• Richard T Bauer III, D.P.M.
• Preeti Bavdekar, P.T.
• Ellen Weybright Beals, OTR
• William J Bean Sr., MS, CASAC
• Silvia Y Beaupre, N.P.
• Kathryn Beauvais, OT
• Christine Beberwyk, OT

• School Registered Nurse in Latham, NY
• Providers in Latham, NY by specialty
• School Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.