Shannon Maureen Stanton

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

567729-1 Issued in NY

Practice address

803 Grant Ane
Lake Katrine, NY 12449

Phone

(845) 331-3970

NPI assigned

Jun 27, 2018

Last updated

Jun 27, 2018By the provider in NPPES

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": "1530057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530057600000",
    "number": "1841785318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 153",
            "city": "EARLTON",
            "state": "NY",
            "postal_code": "120580153",
            "telephone_number": "518-810-5004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 GRANT ANE",
            "city": "LAKE KATRINE",
            "state": "NY",
            "postal_code": "12449",
            "telephone_number": "845-331-3970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANTON",
        "first_name": "SHANNON",
        "middle_name": "MAUREEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-27",
        "last_updated": "2018-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "567729-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Myra K Siegel, OTR/L
• Lois Smith
• Raquel Maari Smith, R.N.
• Adam D Soyer, DO
• Valerie M Sprenz, M.D.
• Elizabeth Victoria Stone, LPN
• Dennis Styles, PA
• Theresa Paulette Sullivan, AUD
• Kinneret Sussman
• Tenbc Inc (Ten Broeck Commons)

• Registered Nurse in Lake Katrine, NY
• Providers in Lake Katrine, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; 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.