Tina Ann Lanzafame

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

333406 Issued in NY

Practice address

235 W 7TH St
Oswego, NY 13126-3650

Phone

(315) 263-4783

NPI assigned

Jan 10, 2022

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 names 1

• Tina Ann Shaffer Former name

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": "1641772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641772800000",
    "number": "1477214666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 W 7TH ST",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131263650",
            "telephone_number": "315-263-4783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 W 7TH ST",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131263650",
            "telephone_number": "315-263-4783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANZAFAME",
        "first_name": "TINA",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-10",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "333406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TINA",
            "last_name": "SHAFFER",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lake Ontario Prompt Medical Care, PLLC
• Peggy Jo Lallier
• Brenda Guyle Lamay, FNP
• Sarita Lamichhane
• Patricia Lane
• Noel Lanni Lapoint, PHD
• Brenda Joan Larkin, LCSW-R
• Mallory Marie Larson, LPN
• Katie Grace Lauretti
• Joseph Lavi, MS

• Licensed Practical Nurse in Oswego, NY
• Providers in Oswego, 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 Jan 10, 2022; 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.