Mariah Sheradin

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

775112 Issued in NY

Practice address

2818 County Road 6
Geneva, NY 14456-1445

Phone

(315) 945-8515

NPI assigned

Dec 15, 2021

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

Electronic endpoints 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": "1639526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639526400000",
    "number": "1508525734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2818 COUNTY ROAD 6",
            "city": "GENEVA",
            "state": "NY",
            "postal_code": "144569564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2818 COUNTY ROAD 6",
            "city": "GENEVA",
            "state": "NY",
            "postal_code": "144561445",
            "telephone_number": "315-945-8515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERADIN",
        "first_name": "MARIAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-15",
        "last_updated": "2021-12-15",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NY",
            "license": "775112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSING LICENSE",
            "identifier": "775112",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "msheradin2@fingerlakes.edu",
            "affiliation": "N",
            "address_1": "2818 County Road 6",
            "city": "Geneva",
            "state": "NY",
            "country_code": "US",
            "postal_code": "14456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shannon Blake
• Vattan Sharma, DDS
• Caitlin Sharman, M.S., ATC, PTA
• Melissa Sharp, LPN
• Mackensi Shaw, DPT
• Elizabeth Ann Sherman
• Melissa Sherman, FNP-C
• Martha Ellen Shields, RN
• Albert Shih
• Katharine J Shipley, LCSW-R

• Home Health Registered Nurse in Geneva, NY
• Providers in Geneva, NY by specialty
• Home Health Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; 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.