Starica Shanell Davis, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

2874801 Issued in NY

Practice address

25 Cross Gates Rd
Gates, NY 14606-3306

Phone

(585) 285-9673

NPI assigned

Jan 19, 2012

Last updated

Jan 19, 2012By the provider in NPPES

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 names 1

• Starica Shanell Green Former name

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": "1326931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326931200000",
    "number": "1780955930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 CROSS GATES RD",
            "city": "GATES",
            "state": "NY",
            "postal_code": "146063306",
            "telephone_number": "585-285-9673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 CROSS GATES RD",
            "city": "GATES",
            "state": "NY",
            "postal_code": "146063306",
            "telephone_number": "585-285-9673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "STARICA",
        "middle_name": "SHANELL",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-19",
        "last_updated": "2012-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "2874801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STARICA",
            "last_name": "GREEN",
            "middle_name": "SHANELL",
            "credential": "LPN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lorraine Clarissa Bryan
• Karie Jean Burge, RN
• Marquita Cassandra Coleman, LPN
• Chiffon T Hart, LPN
• Ian A John, RN
• Alexander P Kuehl, D.C.
• Peter Paul Mascari, DDS
• Katelyn Elizabeth Ozdowski, PT, DPT

• Licensed Practical Nurse in Gates, NY
• Providers in Gates, 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 Jan 19, 2012; 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.