Shannon Marie Leahy

Primary specialty

SpecialistTaxonomy code 174400000X

License

1382270201 Issued in NY

Practice address

30 Abby LN
Ballston Lake, NY 12019-1423

Phone

(631) 560-2796

NPI assigned

Jul 21, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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": "1658361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1134854268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 ABBY LN",
            "city": "BALLSTON LAKE",
            "state": "NY",
            "postal_code": "120191423",
            "telephone_number": "631-560-2796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 ABBY LN",
            "city": "BALLSTON LAKE",
            "state": "NY",
            "postal_code": "120191423",
            "telephone_number": "631-560-2796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAHY",
        "first_name": "SHANNON",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-21",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "1382270201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eva Anna Kool, LCSW-R
• Kylie Draper Kroes, PA-C
• Lakeview Early Childhood Associates, Inc.
• Rebecca Lamanna, PNP
• Tracey Lanesey
• Terri Anne Lefever, PA-C
• Vera A Legnard
• Lincare Inc
• Susan J Little, RPN
• Beth Anne Locatelli

• Specialist in Ballston Lake, NY
• Providers in Ballston Lake, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.