Shannon Elizabeth Fanning, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

298693-1 Issued in NY

Practice address

4 Dundalk Rd
Manorville, NY 11949-2105

Phone

(631) 926-5364

NPI assigned

Jan 15, 2010

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1263513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263513600000",
    "number": "1295066157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 DUNDALK RD",
            "city": "MANORVILLE",
            "state": "NY",
            "postal_code": "119492105",
            "telephone_number": "631-926-5364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 DUNDALK RD",
            "city": "MANORVILLE",
            "state": "NY",
            "postal_code": "119492105",
            "telephone_number": "631-926-5364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANNING",
        "first_name": "SHANNON",
        "middle_name": "ELIZABETH",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-15",
        "last_updated": "2010-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "298693-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet Marie Erario, R.N.
• Jacqueline Esp, LMSW
• Eulacare Senior Companion Agency, Inc.
• Nina Michelle Fagan
• Brittny Ann Fanning, OTR/L
• Gregory Michael Felton, D.D.S
• First in Line Therapies, LLP
• Pietrina Fischetti
• Janice Fitzgibbon, LPN
• Denise Fleming

• Licensed Practical Nurse in Manorville, NY
• Providers in Manorville, 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 15, 2010; 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.