Individual provider Active NPI

Shelby Apree Stoodley, LPN

  • Licensed Practical Nurse
  • Albany, NY
National Provider Identifier
1467257659
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
329363 Issued in NY
Practice address
500 Central Ave
Albany, NY 12206-2213
Phone
(518) 435-9931
Fax
(518) 459-3715
NPI assigned
Feb 13, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 329363 NY Primary

Addresses

Primary practice location

500 Central Ave
Albany, NY 12206-2213

Mailing address

500 Central Ave
Albany, NY 12206-2213
Phone (518) 435-9931

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250326000514 NY Practitioner - Psychiatry 5698298149 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Equinox Inc CurrentSince Jan 16, 2025 Accepting new patients

Locations

500 Central Ave
Albany, NY 12206
Phone (518) 435-9931

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1739404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1467257659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 CENTRAL AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122062213",
            "telephone_number": "518-435-9931",
            "fax_number": "518-459-3715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CENTRAL AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122062213",
            "telephone_number": "518-435-9931",
            "fax_number": "518-459-3715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOODLEY",
        "first_name": "SHELBY",
        "middle_name": "APREE",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-13",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "329363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.