Shannon Lynn Giancarlo, REGISTERED NURSE

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

802033-01 Issued in NY

Practice address

255 Delaware Ave
Buffalo, NY 14202-2016

Phone

(716) 842-0440

NPI assigned

Apr 7, 2021

Sex

Female

Sole proprietor

No

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bestself Behavioral Health, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Buffalo, NY
  • NPI 1508868407
  NPD (past)

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

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1598344376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 DELAWARE AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142022016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 DELAWARE AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142022016",
            "telephone_number": "716-842-0440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1050 Niagara St",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142132001",
            "country_code": "US",
            "telephone_number": "716-710-4399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIANCARLO",
        "first_name": "SHANNON",
        "middle_name": "LYNN",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-07",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "802033-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Celeste Giallanza, MS
• Joni Ann Giallombardo, RPH
• Carol A Giammara, COTA
• Jacquelyn A Giammaresi, PA-C
• Eileen Mastrangelo Giancarlo, MSW, LCSW
• Thomas Joseph Giancarlo, MSW, LCSW
• Michelle Marie Giancaterin, M.A. CCC/SLP
• Steven Eugene Gianello, PA
• Patricia A Gianfagna, MD
• Robert Gianfagna, MD

• Registered Nurse in Buffalo, NY
• Providers in Buffalo, 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 Apr 7, 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.