Individual provider Active NPI

Shannon Foos, RN

  • School Registered Nurse
  • Scottsville, NY
National Provider Identifier
1467949180
Registry record updated Apr 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
706012 Issued in NY
Practice address
940 North Rd
Scottsville, NY 14546-1229
Phone
(585) 889-6221
Fax
(585) 889-6217
NPI assigned
Apr 18, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 706012 NY Primary

Addresses

Primary practice location

940 North Rd
Scottsville, NY 14546-1229

Mailing address

796 Stony Point Rd
Spencerport, NY 14559-9721
Phone (585) 713-6069

Other practice location 1

796 Stony Point Rd
Spencerport, NY 14559-9721
Phone (585) 713-6069

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
706012NYMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1524009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524009600000",
    "number": "1467949180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "796 STONY POINT RD",
            "city": "SPENCERPORT",
            "state": "NY",
            "postal_code": "145599721",
            "telephone_number": "585-713-6069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 NORTH RD",
            "city": "SCOTTSVILLE",
            "state": "NY",
            "postal_code": "145461229",
            "telephone_number": "585-889-6221",
            "fax_number": "585-889-6217"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "796 Stony Point Rd",
            "address_purpose": "LOCATION",
            "city": "Spencerport",
            "state": "NY",
            "postal_code": "145599721",
            "country_code": "US",
            "telephone_number": "585-713-6069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOOS",
        "first_name": "SHANNON",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-18",
        "last_updated": "2018-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "706012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2018; 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.