Active NPI
Suzanne Kathleen Sheldon
- Home Health Registered Nurse
- Albion, NY
National Provider Identifier
1356546485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- 1375321
- Practice address
- 124 Herrick Street
Albion, NY 14411 - Phone
- (585) 589-1802
- NPI assigned
- Jun 19, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 1375321 | NY | Primary |
Addresses
Primary practice location
124 Herrick Street
Albion, NY 14411
Mailing address
124 Herrick Street
Albion, NY 14411
Phone (585) 589-1802
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01456766 | Medicaid | NY |
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 |
|---|---|---|---|
| 1375321 | NY | MD | Home Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356546485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 HERRICK STREET",
"city": "ALBION",
"state": "NY",
"postal_code": "14411",
"telephone_number": "585-589-1802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 HERRICK STREET",
"city": "ALBION",
"state": "NY",
"postal_code": "14411",
"telephone_number": "585-589-1802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHELDON",
"first_name": "SUZANNE",
"middle_name": "KATHLEEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "NY",
"license": "1375321",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01456766",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Albion, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.