Shannon Nicole Degroff, LPN
Individual provider Active NPI Licensed Practical Nurse · Schoharie, NY
NPI 1841923299 · NPPES record last updated Jul 4, 2022
Key facts
- NPI
- 1841923299
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 290397 (NY)
- Practice address
- 183 Terrace MTN Rd
Schoharie, NY 12157-2412 - Phone
- (518) 729-7261
- NPI assigned
- Jul 4, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 290397 | NY | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 290397 | NY | Yes |
Addresses
Primary practice location
183 Terrace MTN Rd
Schoharie, NY 12157-2412
Mailing address
PO Box 58
Schoharie, NY 12157-0058
Phone (518) 729-7262
Other providers in Schoharie, NY
- Kimberlee Marie Culver
- Thomas J Daley
- Alexis Daniels
- Eric Christopher Davis
- Diane Degiovine
- Eugene Dinuzzo
- Courteny Dowsey
- Hazem Elbialy
- Kelly B Farnan
- Karen Lynn Frankel
All providers in Schoharie, NY · Licensed Practical Nurse 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 4, 2022. 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.