Individual provider Active NPI

Shirley Lareau-Kemp, RN

  • School Registered Nurse
  • Plattsburgh, NY
National Provider Identifier
1295257228
Registry record updated Jul 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
486950-1 Issued in NY
Practice address
1585 Military Tpke
Plattsburgh, NY 12901-7457
Phone
(518) 561-0100
Fax
(518) 561-5624
NPI assigned
Jul 12, 2017
Last updated
Jul 12, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 486950-1 NY Primary

Addresses

Primary practice location

1585 Military Tpke
Plattsburgh, NY 12901-7457

Mailing address

PO Box 455
Plattsburgh, NY 12901-0455
Phone (518) 561-0100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
486950-1NYMDSchool Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Champlain Valley Educational Services Past Accepting new patients
Champlain Valley Education Services Past Accepting new patients
Clinton Essex Warren Washington Boces Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1499817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499817600000",
    "number": "1295257228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 455",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129010455",
            "telephone_number": "518-561-0100",
            "fax_number": "518-561-5624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 MILITARY TPKE",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129017457",
            "telephone_number": "518-561-0100",
            "fax_number": "518-561-5624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAREAU-KEMP",
        "first_name": "SHIRLEY",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-12",
        "last_updated": "2017-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "486950-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plattsburgh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2017; 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.