Individual provider Active NPI

Shana Olson-Laake, RN

  • Registered Nurse
  • Queensbury, NY
National Provider Identifier
1669381380
Registry record updated Sep 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
635438 Issued in NY
Practice address
48 Twin Channels Rd
Queensbury, NY 12804-7238
Phone
(518) 878-6402
NPI assigned
Sep 7, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2026

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 635438 NY Primary

Addresses

Primary practice location

48 Twin Channels Rd
Queensbury, NY 12804-7238

Mailing address

48 Twin Channels Rd
Queensbury, NY 12804-7238
Phone (518) 878-6402

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1788739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788739200000",
    "number": "1669381380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 TWIN CHANNELS RD",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128047238",
            "telephone_number": "518-878-6402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 TWIN CHANNELS RD",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128047238",
            "telephone_number": "518-878-6402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON-LAAKE",
        "first_name": "SHANA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-07",
        "last_updated": "2026-09-07",
        "certification_date": "2026-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "635438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queensbury, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.