Active NPI
Lauren Karas-Shanks, M.S.
- Occupational Therapist
- Canandaigua, NY
National Provider Identifier
1619023579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 014227-1
- Practice address
- 2041 Stablegate Dr
Canandaigua, NY 14424-8161 - Phone
- (585) 703-9265
- NPI assigned
- Jan 25, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 014227-1 | NY | |
| Occupational Therapist | 225X00000X | 014227 | NY | |
| Occupational Therapist | 225X00000X | 014227-1 | NY | Primary |
Addresses
Primary practice location
2041 Stablegate Dr
Canandaigua, NY 14424-8161
Mailing address
2041 Stablegate Dr
Canandaigua, NY 14424-8161
Phone (585) 703-9265
Other practice location 1
131 Drumlin Ct
Newark, NY 14513-1863
Phone (315) 332-2711
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30-0213081 | Other | NY | TAX ID |
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014227-1 | NY | MD | Specialist |
| 014227 | NY | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583280000000",
"number": "1619023579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2041 STABLEGATE DR",
"city": "CANANDAIGUA",
"state": "NY",
"postal_code": "144248161",
"telephone_number": "585-703-9265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2041 STABLEGATE DR",
"city": "CANANDAIGUA",
"state": "NY",
"postal_code": "144248161",
"telephone_number": "585-703-9265"
}
],
"practiceLocations": [
{
"address_1": "131 Drumlin Ct",
"address_purpose": "LOCATION",
"city": "Newark",
"state": "NY",
"postal_code": "145131863",
"country_code": "US",
"telephone_number": "315-332-2711",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KARAS-SHANKS",
"first_name": "LAUREN",
"name_prefix": "Mrs.",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-25",
"last_updated": "2020-03-04",
"certification_date": "2020-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "014227-1",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "014227",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "014227-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "30-0213081",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Canandaigua, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.