Sheila M Syrell, LPN – Licensed Practical Nurse

Key facts

NPI: 1366930422
Entity type: Individual (NPI type 1)
Primary specialty: Licensed Practical Nurse 164W00000X
License: 321378 (NY)
Practice address: 12005 E Main St # 2
Wolcott, NY 14590-1021
Phone: (315) 879-0950
NPI assigned: Apr 24, 2018
Sex: Female
Sole proprietor: Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD): No

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Licensed Practical Nurse	164W00000X	321378	NY	Yes

Addresses

Primary practice location

12005 E Main St # 2
Wolcott, NY 14590-1021

Mailing address

12005 E Main St # 2
Wolcott, NY 14590-1021
Phone (315) 879-0950

Other names

Ms. Sheila M Milliman Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 24, 2018.

{
    "created_epoch": "1524528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524528000000",
    "number": "1366930422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12005 E MAIN ST # 2",
            "city": "WOLCOTT",
            "state": "NY",
            "postal_code": "145901021",
            "telephone_number": "315-879-0950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12005 E MAIN ST # 2",
            "city": "WOLCOTT",
            "state": "NY",
            "postal_code": "145901021",
            "telephone_number": "315-879-0950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYRELL",
        "first_name": "SHEILA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-24",
        "last_updated": "2018-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "321378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHEILA",
            "last_name": "MILLIMAN",
            "middle_name": "M",
            "prefix": "MS.",
            "credential": "LPN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wolcott, NY

All providers in Wolcott, NY · Licensed Practical Nurse in New York

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 24, 2018. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.