Shannon Elizabeth Mastrantuono

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

318771-1 Issued in NY

Practice address

80 Vassar Rd.
Poughkeepsie, NY 12603

Phone

(845) 464-9737

NPI assigned

Sep 17, 2015

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": "1442448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442448000000",
    "number": "1821467192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 VASSAR RD",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126035241",
            "telephone_number": "845-464-9737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 VASSAR RD.",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "12603",
            "telephone_number": "845-464-9737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTRANTUONO",
        "first_name": "SHANNON",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-17",
        "last_updated": "2015-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "318771-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina Marie Massari, RN
• Toni-Ann Mastando
• Domenico Carmine Mastandrea, D.O.
• Deborah B. Masterson, RNC
• Angela Mastrantuono, LCSW-R
• Ajsza Matela, MD
• Kimberly Ann Mathers, FNP
• Michaella Mathews, LMSW
• Zachary Matthay, M.D.
• Nordia H Matthews, MD

• Licensed Practical Nurse in Poughkeepsie, NY
• Providers in Poughkeepsie, 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 Sep 17, 2015; 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.