Sonya Lynn Shoemaker I, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

278619 Issued in NY

Practice address

4584 Ontario Center Rd
Walworth, NY 14568-9726

Phone

(585) 472-3670

NPI assigned

Sep 13, 2007

Last updated

Sep 13, 2007By the provider in NPPES

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 identifiers 1

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": "1189641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189641600000",
    "number": "1275728065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4584 ONTARIO CENTER RD",
            "city": "WALWORTH",
            "state": "NY",
            "postal_code": "145689726",
            "telephone_number": "585-472-3670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4584 ONTARIO CENTER RD",
            "city": "WALWORTH",
            "state": "NY",
            "postal_code": "145689726",
            "telephone_number": "585-472-3670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOEMAKER",
        "first_name": "SONYA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "name_suffix": "I",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-13",
        "last_updated": "2007-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "278619",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02900470",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Licensed Practical Nurse in Walworth, NY
• Providers in Walworth, 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 Sep 13, 2007; 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.