Stacy C S Shorette, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

245193 Issued in NY

Practice address

1173 Church Rd
Saugerties, NY 12477-3236

Phone

(845) 247-3248

NPI assigned

Nov 2, 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

Other identifiers 1

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": "1193961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193961600000",
    "number": "1467631754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1173 CHURCH RD",
            "city": "SAUGERTIES",
            "state": "NY",
            "postal_code": "12477",
            "telephone_number": "845-247-3248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1173 CHURCH RD",
            "city": "SAUGERTIES",
            "state": "NY",
            "postal_code": "124773236",
            "telephone_number": "845-247-3248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORETTE",
        "first_name": "STACY",
        "middle_name": "C S",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-02",
        "last_updated": "2007-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "245193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02880573",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nara A Scanlon, RN
• Tara Schatzel, CD
• Nina Schmidbaur
• Nicole Diane Seipp
• Sheila Shidnia, LMFT, MT-BC
• Andrea Silinovich
• Lorna Silinovich
• Margaret Simmons-Jackson, OTR/L
• Kaitlyn Sinnott-Della Chiesa, MS ED., CF-SLP
• Mitchell Skolnick, DC

• Licensed Practical Nurse in Saugerties, NY
• Providers in Saugerties, 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 Nov 2, 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.