Jacqueline Sheehan

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

609698 Issued in NY

Practice address

4300 Cillo Rd
Clarence, NY 14031-2303

Phone

(716) 867-9124

NPI assigned

Sep 3, 2013

Last updated

Sep 3, 2013By the provider in NPPES

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

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": "1378166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378166400000",
    "number": "1528492006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 CILLO RD",
            "city": "CLARENCE",
            "state": "NY",
            "postal_code": "140312303",
            "telephone_number": "716-867-9124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 CILLO RD",
            "city": "CLARENCE",
            "state": "NY",
            "postal_code": "140312303",
            "telephone_number": "716-867-9124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEEHAN",
        "first_name": "JACQUELINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-03",
        "last_updated": "2013-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "609698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Michael Scalzo, PHARM.D.
• Robert D Schaus, DDS
• Kevin Matthew Scibetta, DPT
• Benjamin Segerson, DO
• Christina M Sharples, RN
• Sheila's Fitness Jam, LLC
• Jennifer J Sinclair, SLP
• Colleen Siskar, LCAT, ATR-BC
• Andrew Skomra, MD
• Cheryl Smith, PHARM.D.

• Registered Nurse in Clarence, NY
• Providers in Clarence, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2013; 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.