Shannon R Stanton, B.S, M.S.ED

Primary specialty

SpecialistTaxonomy code 174400000X

License

25337 Issued in NY

Practice address

25756 State Highway 10
Walton, NY 13856-2195

Phone

(607) 287-2768

Fax

(607) 510-4108

NPI assigned

Jun 8, 2012

Sex

Female

Sole proprietor

Yes

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

Credentials

Bachelor of Science

State licenses

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

{
    "created_epoch": "1339113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339113600000",
    "number": "1073875878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25756 STATE HIGHWAY 10",
            "city": "WALTON",
            "state": "NY",
            "postal_code": "138562195",
            "telephone_number": "607-287-2768",
            "fax_number": "607-510-4108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25756 STATE HIGHWAY 10",
            "city": "WALTON",
            "state": "NY",
            "postal_code": "138562195",
            "telephone_number": "607-287-2768",
            "fax_number": "607-510-4108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANTON",
        "first_name": "SHANNON",
        "middle_name": "R",
        "credential": "B.S, M.S.ED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-08",
        "last_updated": "2012-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "25337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Smith, LPN
• Tanya K Smith, CASAC
• William G Smith, DDS
• Duane Spilde, LCSWR, ACSW
• Marie Elena Sroka, CASAC
• Ramsie Jade Stephens, NP
• Jason Szekeres
• Michael Anthony Talarico, MD
• The Arc of Delaware County
• Karena Trimbell, NP

• Specialist in Walton, NY
• Providers in Walton, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.