Individual provider Active NPI

Patricia Louise Sheldon-Scheuneman

  • Licensed Practical Nurse
  • North Tonawanda, NY
National Provider Identifier
1033466735
Registry record updated Aug 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
196445-1 Issued in NY
Practice address
1317 Cambridge Ave
North Tonawanda, NY 14120-2303
Phone
(716) 260-2710
NPI assigned
Aug 13, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 196445-1 NY Primary

Addresses

Primary practice location

1317 Cambridge Ave
North Tonawanda, NY 14120-2303

Mailing address

1317 Cambridge Ave
North Tonawanda, NY 14120-2303
Phone (716) 260-2710

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
196445-1NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1344816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344816000000",
    "number": "1033466735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 CAMBRIDGE AVE",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141202303",
            "telephone_number": "716-260-2710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 CAMBRIDGE AVE",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141202303",
            "telephone_number": "716-260-2710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELDON-SCHEUNEMAN",
        "first_name": "PATRICIA",
        "middle_name": "LOUISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-13",
        "last_updated": "2012-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "196445-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Tonawanda, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; 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.