Shelley Vankempen
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Warrensburg, NY
NPI 1780692152 · NPPES record last updated Jul 31, 2008
Key facts
- NPI
- 1780692152
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 400541 (NY)
- Practice address
- 3767 Main St
Warrensburg, NY 12885-1837 - Phone
- (518) 623-2844
- Fax
- (518) 623-3416
- NPI assigned
- Aug 3, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 400541 | NY | Yes |
Addresses
Primary practice location
3767 Main St
Warrensburg, NY 12885-1837
Mailing address
1 Broad Street PLZ
PO Box 357
Glens Falls, NY 12801-4390
Phone (518) 761-0300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00630039 | Medicaid | NY |
Other providers in Warrensburg, NY
- James Michael Sullivan
- Matthew Terry
- Jessica Ann Thaler
- Erin Down Thompson
- United Health Staffing LLC
- Rosemary Vassallo
- Walgreen Co
- Suzanne Sheree Walpole
- Sarah A Walton
- Warrensburg Central School District
All providers in Warrensburg, NY · Psychiatric/Mental Health Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 31, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.