Kelly Sue Shanahan

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

730 Olean Rd
East Aurora, NY 14052-9781

Phone

(716) 240-2220

Fax

(716) 714-9500

NPI assigned

Jan 25, 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

Practice roles

Locations

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

• The Rural Outreach Center, Inc.

  dba The Rural Outreach Center

  • Community/Behavioral Health Agency
  • East Aurora, NY
  • NPI 1891311965
  NPD

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

{
    "created_epoch": "1611532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611532800000",
    "number": "1689264442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 OLEAN RD",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "140529781",
            "telephone_number": "716-240-2220",
            "fax_number": "716-714-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 OLEAN RD",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "140529781",
            "telephone_number": "716-240-2220",
            "fax_number": "716-714-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANAHAN",
        "first_name": "KELLY",
        "middle_name": "SUE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-25",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary E Schuetz, MD
• Carlene Schultz, NP
• Seedling Developmental, Inc.
• Kara Lynn Selbig, RN
• Megan Shaffer
• Amy Sheehan, P.T.
• Lisbeth Shepard
• Janine Marie Sherk
• Rachel Elizabeth Showers, FNP- BC
• Myron R Siegel, MD

• Case Manager/Care Coordinator in East Aurora, NY
• Providers in East Aurora, NY by specialty
• Case Manager/Care Coordinator in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.