Shannon Barresi, LPN
Individual provider Active NPI Registered Nurse · Centereach, NY
NPI 1508329095 · NPPES record last updated Aug 13, 2024
Key facts
- NPI
- 1508329095
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 902105-01 (NY)
- Practice address
- 8 43Rd St
Centereach, NY 11720-2325 - Phone
- (631) 285-8000
- NPI assigned
- Apr 11, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 902105-01 | NY | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 902105-01 | NY | Yes |
Addresses
Primary practice location
8 43Rd St
Centereach, NY 11720-2325
Mailing address
84 Old Post Rd
Mount Sinai, NY 11766-1102
Other names
- Shannon Barresi
Other providers in Centereach, NY
- Katherine Atatsi
- Ilene Robin Augenlicht
- Malak Ishak Azab
- Wendy Jean Azmoun
- Carolyn Barravecchio
- Danielle Leigh Barrington
- Dominick Basile
- Lauren Marie Bauer
- Gregory Baumgartner
- Sharon Ann Beardslee
All providers in Centereach, NY · Registered Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 13, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.