Individual provider Active NPI

Shauna Alise Ogden, RN

  • Registered Nurse
  • Marcy, NY
National Provider Identifier
1548812308
Registry record updated Jul 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
751645 Issued in NY
Practice address
6050 Cavanaugh Rd
Marcy, NY 13403-2411
Phone
(315) 534-0730
NPI assigned
Jul 11, 2019
Last updated
Jul 11, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 751645 NY Primary

Addresses

Primary practice location

6050 Cavanaugh Rd
Marcy, NY 13403-2411

Mailing address

6876 Canaseraga Rd
Chittenango, NY 13037-9570
Phone (315) 214-9109

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
751645NYMDRegistered Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1562803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562803200000",
    "number": "1548812308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6876 CANASERAGA RD",
            "city": "CHITTENANGO",
            "state": "NY",
            "postal_code": "130379570",
            "telephone_number": "315-214-9109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6050 CAVANAUGH RD",
            "city": "MARCY",
            "state": "NY",
            "postal_code": "134032411",
            "telephone_number": "315-534-0730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGDEN",
        "first_name": "SHAUNA",
        "middle_name": "ALISE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-11",
        "last_updated": "2019-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "751645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marcy, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2019; 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.