Shalyn Mae Hall

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

294-413 Issued in NY

Practice address

25 Willowbrook Rd
Queensbury, NY 12804-5882

Phone

(518) 926-7100

NPI assigned

Nov 14, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1668384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1033827548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 WILLOWBROOK RD",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128045882",
            "telephone_number": "518-926-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 WILLOWBROOK RD",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128045882",
            "telephone_number": "518-926-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "SHALYN",
        "middle_name": "MAE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-14",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "294-413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smhall@bhsn.org",
            "affiliation": "Y",
            "endpointDescription": "work e-mail",
            "affiliationName": "Behavioral Health Services North",
            "address_1": "22 US Oval",
            "address_2": "Suite 100",
            "city": "Plattsburgh",
            "state": "NY",
            "country_code": "US",
            "postal_code": "129035900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Melissa Roff Gunty
• H.Johnschutze DDS PC
• Laurie L Hackenburg, RN
• Jaimee Lynn Hafele, LCSW
• Sarena B Hall, LMHC
• Mary Hallquist, LCMHC
• Victoria Hankinson, PA-C
• Sandra Margaret Hanley, MA, NCC, LPC
• Kaitlyn Ann Hansen, PT, DPT
• Chelsea I Harrington, LMSW

• Licensed Practical Nurse in Queensbury, NY
• Providers in Queensbury, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; 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.