Susan Shah, NP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

F430450-1 Issued in NY

Practice address

807 Union St
Wicker Wellness Center
Schenectady, NY 12308-3103

Phone

(518) 388-6794

NPI assigned

Sep 29, 2009

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1254182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380499200000",
    "number": "1154655744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 UNION ST",
            "address_2": "WICKER WELLNESS CENTER",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123083103",
            "telephone_number": "518-388-6794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 UNION ST",
            "address_2": "WICKER WELLNESS CENTER",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123083103",
            "telephone_number": "518-388-6794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "SUSAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-29",
        "last_updated": "2013-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NY",
            "license": "F430450-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Shafer, MS, CCC-SLP
• Kelly L. Shaginaw
• Manish Shah, M.D.
• Naval Jatinkumar Shah, PT
• Rajnikant Shah, DDS
• Maryam Shahani
• Hani Laoiz Shahata, MD
• Ani Shahinian, LCSW R
• Thomas A Shahinian, DMD
• Hedva Shamir, MD

• Acute Care Nurse Practitioner in Schenectady, NY
• Providers in Schenectady, NY by specialty
• Acute Care Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2013; 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.