Individual provider Active NPI

Shane Lawrence Gurnee, RN BSN

  • Case Management Registered Nurse
  • Rochester, NY
National Provider Identifier
1487902029
Registry record updated Aug 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
659843-1 Issued in NY
Practice address
111 Westfall Rd
Rochester, NY 14620-4647
Phone
(585) 753-5178
NPI assigned
Aug 28, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X 659843-1 NY Primary

Addresses

Primary practice location

111 Westfall Rd
Rochester, NY 14620-4647

Mailing address

100 Carpenter LN Apt 207
Penn Yan, NY 14527-8756
Phone (585) 753-5187

Other identifiers 1

IdentifierTypeStateIssuer
VYT200514960MedicaidNY

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
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
659843-1NYMDCase Management Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
County of Monroe Past Accepting new patients
Monroe County Health Department Past Accepting new patients

Organizations & group practices 2

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": "1346112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346112000000",
    "number": "1487902029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CARPENTER LN APT 207",
            "city": "PENN YAN",
            "state": "NY",
            "postal_code": "145278756",
            "telephone_number": "585-753-5187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 WESTFALL RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146204647",
            "telephone_number": "585-753-5178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GURNEE",
        "first_name": "SHANE",
        "middle_name": "LAWRENCE",
        "credential": "RN BSN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-28",
        "last_updated": "2012-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "NY",
            "license": "659843-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "VYT200514960",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; 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.