Kathryn Jean Shaver, LPN

Key facts

NPI

1457522336

Entity type

Individual (NPI type 1)

Primary specialty

Licensed Practical Nurse 164W00000X

License

10 292017 (NY)

Practice address

8283 N Main St
Canastota, NY 13032-3245

Phone

(315) 751-1977

Fax

(954) 572-5745

NPI assigned

Mar 18, 2008

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

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 18, 2008.

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205798400000",
    "number": "1457522336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8283 N MAIN ST",
            "city": "CANASTOTA",
            "state": "NY",
            "postal_code": "130323245",
            "telephone_number": "315-751-1977",
            "fax_number": "954-572-5745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8283 N MAIN ST",
            "city": "CANASTOTA",
            "state": "NY",
            "postal_code": "130323245",
            "telephone_number": "315-751-1977",
            "fax_number": "954-572-5745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAVER",
        "first_name": "KATHRYN",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-18",
        "last_updated": "2008-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "10 292017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canastota, NY

• Richard William Puente, O.D.
• Paulette Rena Roque
• Alfred Michael Russitano, OPTICIAN
• Catherine Jane Saverino
• Alicia J Sgarlata, LPN
• Michael Siegenthaler, MD
• Lauren Skibitski
• Sylvia Skinner-Defrancisco, LCSW-R
• Andrea Pamadora Smyth, LMHC
• Randolph Snow, DO

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