Shantanette S Warren, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

338832-01 Issued in NY

Practice address

304 E Oak Orchard St Apt 2
Medina, NY 14103-1609

Phone

(585) 532-3747

NPI assigned

Dec 30, 2025

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1767052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1699631002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 E OAK ORCHARD ST APT 2",
            "city": "MEDINA",
            "state": "NY",
            "postal_code": "141031609",
            "telephone_number": "585-532-3747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 E OAK ORCHARD ST APT 2",
            "city": "MEDINA",
            "state": "NY",
            "postal_code": "141031609",
            "telephone_number": "585-532-3747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "SHANTANETTE",
        "middle_name": "S",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-12-30",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "338832-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• TND Physical Therapy P.C.
• Tops Markets LLC
• Kit Trapasso, MS
• Village of Medina
• Walgreen Co
• Fatima Maria Westgate, LMHC
• Melinda Renee Williams, PHARMD
• Carrie Ann Wilson, OTR/L
• Janet Marie Wysocki Freer, AGPCNP
• Eugene F Young, OPTICIAN

• Licensed Practical Nurse in Medina, NY
• Providers in Medina, 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 Dec 30, 2025; 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.