Active NPI
Dylan Shackelton, NRP
- Paramedic
- Rhinebeck, NY
National Provider Identifier
1356211239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Paramedic
- License
- 490737
- Practice address
- 3 Hook Rd
Rhinebeck, NY 12572-1145 - Phone
- (845) 876-0448
- Fax
- (845) 876-0448
- NPI assigned
- Nov 6, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Paramedic | 146L00000X | 490737 | NY | Primary |
Addresses
Primary practice location
3 Hook Rd
Rhinebeck, NY 12572-1145
Mailing address
120 Hunns Lake Rd
Stanfordville, NY 12581-5510
Phone (845) 430-7905
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 490737 | NY | MD | Paramedic |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762387200000",
"number": "1356211239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 HUNNS LAKE RD",
"city": "STANFORDVILLE",
"state": "NY",
"postal_code": "125815510",
"telephone_number": "845-430-7905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 HOOK RD",
"city": "RHINEBECK",
"state": "NY",
"postal_code": "125721145",
"telephone_number": "845-876-0448",
"fax_number": "845-876-0448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHACKELTON",
"first_name": "DYLAN",
"credential": "NRP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-11-06",
"last_updated": "2025-11-06",
"certification_date": "2025-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "146L00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Paramedic",
"state": "NY",
"license": "490737",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rhinebeck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.