Sueanne Sheppard-Niedhammer, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

200223 Issued in NY

Practice address

110 White Birch Est
Fort Edward, NY 12828-9273

Phone

(518) 792-3258

NPI assigned

Dec 8, 2006

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

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": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1508925959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 WHITE BIRCH EST",
            "city": "FORT EDWARD",
            "state": "NY",
            "postal_code": "128289273",
            "telephone_number": "518-792-3258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 WHITE BIRCH EST",
            "city": "FORT EDWARD",
            "state": "NY",
            "postal_code": "128289273",
            "telephone_number": "518-792-3258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPPARD-NIEDHAMMER",
        "first_name": "SUEANNE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "200223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02315319",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Ann Railey, LMSW
• Lauren Eve Rancour, PA-C
• Stacy Lynn Rogers
• Toni Lynne Salerno, REGISTERED NURSE
• Katherine Eastman Schmiel, MA, CCCSLP
• Howard E Silverberg, MD
• Sabrina Sinagra
• SMBM, LCSW, PLLC
• Emma Somerville
• Kirsten Spero

• Licensed Practical Nurse in Fort Edward, NY
• Providers in Fort Edward, 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 Jul 9, 2007; 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.