Shauna Pople

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

10 290456 Issued in NY

Practice address

209 E Heman St
East Syracuse, NY 13057-2211

Phone

(315) 863-6878

NPI assigned

Nov 11, 2014

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

Other names 1

• Shauna Hall Former name

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": "1415664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415664000000",
    "number": "1154727618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 E HEMAN ST",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130572211",
            "telephone_number": "315-863-6878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 E HEMAN ST",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130572211",
            "telephone_number": "315-863-6878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPLE",
        "first_name": "SHAUNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-11",
        "last_updated": "2014-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "10 290456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAUNA",
            "last_name": "HALL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Victoria Rose Pirro
• Plev BC PLC
• Podiatry Services of Central New York, PC
• Brett Poirier, DPT
• Christopher Mark Poniros, ATC
• Rebecca Popple, PT, DPT
• Robyn Lynn Porpiglio, NP
• Rebecca K Potter, M.D.
• Mark Powell, ATC, CSCS
• Mackenzie Powers, MHC-LP

• Licensed Practical Nurse in East Syracuse, NY
• Providers in East Syracuse, 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 11, 2014; 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.