Individual provider Active NPI

Lauren Karas-Shanks, M.S.

  • Occupational Therapist
  • Canandaigua, NY
National Provider Identifier
1619023579
Registry record updated Mar 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
014227-1 Issued in NY
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

Updated by the provider on Mar 4, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
30-0213081OtherNYTAX 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

LicenseStateTypeSpecialty
014227-1NYMDSpecialist
014227NYMDPhysical 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.

Verify at the official NPI Registry.