Stephanie Lynn Pawlenko

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

323110 Issued in NY

Practice address

510 Oneida St
Fulton, NY 13069-1343

Phone

(315) 529-7326

NPI assigned

Dec 28, 2015

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

State licenses

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

{
    "created_epoch": "1451260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515628800000",
    "number": "1184089666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 ONEIDA ST",
            "city": "FULTON",
            "state": "NY",
            "postal_code": "130691343",
            "telephone_number": "315-529-7326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 ONEIDA ST",
            "city": "FULTON",
            "state": "NY",
            "postal_code": "130691343",
            "telephone_number": "315-529-7326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAWLENKO",
        "first_name": "STEPHANIE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-28",
        "last_updated": "2018-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "323110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelley Ann Parker, LPN
• Tanya Parkhurst, LPN
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• Suryakant Z Patel, M.D.
• Vandana Bhanudas Patil, M.D.
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• Shannon Ashley Peelman, PA-C
• Mary Penaloza
• Penn Traffic Company the
• Performance Physical Therapy PC

• Licensed Practical Nurse in Fulton, NY
• Providers in Fulton, 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 Jan 11, 2018; 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.