Bethany Shene, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

212336 Issued in NY

Practice address

1 McGrath Stand LN
Sag Harbor, NY 11963-2830

Phone

(631) 741-8882

Fax

(631) 458-1426

NPI assigned

Mar 20, 2012

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

Other identifiers 1

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.

• Shene Services LLC

  • Home Health Agency
  • Sag Harbor, NY
  • NPI 1700061876
  NPD (past) Authorized official

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

{
    "created_epoch": "1332201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369267200000",
    "number": "1699040907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1994",
            "city": "EAST HAMPTON",
            "state": "NY",
            "postal_code": "119370908",
            "telephone_number": "631-324-9555",
            "fax_number": "631-458-1426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MCGRATH STAND LN",
            "city": "SAG HARBOR",
            "state": "NY",
            "postal_code": "119632830",
            "telephone_number": "631-741-8882",
            "fax_number": "631-458-1426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHENE",
        "first_name": "BETHANY",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-20",
        "last_updated": "2013-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "212336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "212336",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sag Harbor Skin and Aesthetics LLC
• Sag Harbor Ufsd
• Sagaponack Medical PC
• Victoria L Sharp, M.D.
• Shene Services LLC
• Emma Elizabeth Shilowich, OTR/L
• Elena Skerys
• Kate Snyder King, LMSW
• Robert Alan Stein, MPSYCH PSYCH MACP
• Twentyseveneastphysiotherapy PC

• Licensed Practical Nurse in Sag Harbor, NY
• Providers in Sag Harbor, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2013; 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.