Individual provider Active NPI

Taeler Capri Shana Vanallen, RN-BC

  • Registered Nurse
  • Amherst, NY
National Provider Identifier
1023614302
Registry record updated Dec 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
660480 Issued in NY
Practice address
1412 Sweet Home Rd Ste 3-5
Amherst, NY 14228-2795
Phone
(716) 589-1411
Fax
(716) 276-3051
NPI assigned
Dec 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 660480 NY Primary

Addresses

Primary practice location

1412 Sweet Home Rd Ste 3-5
Amherst, NY 14228-2795

Mailing address

39 Sean Riley Apt 2
Getzville, NY 14068-1492
Phone (716) 392-9549

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
660480NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1607558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607558400000",
    "number": "1023614302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 SEAN RILEY APT 2",
            "city": "GETZVILLE",
            "state": "NY",
            "postal_code": "140681492",
            "telephone_number": "716-392-9549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 SWEET HOME RD STE 3-5",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142282795",
            "telephone_number": "716-589-1411",
            "fax_number": "716-276-3051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANALLEN",
        "first_name": "TAELER",
        "middle_name": "CAPRI SHANA",
        "credential": "RN-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-10",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "660480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; 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.