Joanne Sheridan

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

2365221 Issued in NY

Practice address

390 Fournier Rd
West Chazy, NY 12992-2622

Phone

(518) 493-3760

NPI assigned

Jun 1, 2007

Sex

Female

Sole proprietor

Yes

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": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417159500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 FOURNIER RD",
            "city": "WEST CHAZY",
            "state": "NY",
            "postal_code": "129922622",
            "telephone_number": "518-493-3760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 FOURNIER RD",
            "city": "WEST CHAZY",
            "state": "NY",
            "postal_code": "129922622",
            "telephone_number": "518-493-3760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERIDAN",
        "first_name": "JOANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "2365221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal May Sampica-Manor, MS BCBA NYS-LBA
• Tara Madelyn Schildhauer
• Cassie Sellars
• Ilona M Selzer-Kelting
• Disa A Seymour, RN
• Erin Spoor, RN
• Tammy L. Spoor, CCC-SLP
• Beth Surprenant, RN
• Catherine Ann Tallon, SOCIAL WORKER
• Lynda Tripp

• Licensed Practical Nurse in West Chazy, NY
• Providers in West Chazy, 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 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.

Verify at the official NPI Registry.