Shannon Burnham, LPN
Individual provider Active NPI Licensed Practical Nurse · Lindenhurst, NY
NPI 1922479427 · NPPES record last updated Oct 9, 2015
Key facts
- NPI
- 1922479427
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 295941 (NY)
- Practice address
- 525 Beacon Ave
Lindenhurst, NY 11757-5329 - Phone
- (631) 466-2339
- NPI assigned
- Oct 9, 2015
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 295941 | NY | Yes |
Addresses
Primary practice location
525 Beacon Ave
Lindenhurst, NY 11757-5329
Mailing address
525 Beacon Ave
Lindenhurst, NY 11757-5329
Phone (631) 466-2339
Other providers in Lindenhurst, NY
- Paul J Buchalter
- Jessica Anne Buckley
- Roseanne Buono
- Shannon Burke
- Lexi Burks
- Lisa A Buynak
- Suzanne M Byrne
- John Paul Talmadge Cagigas
- Anna Maria Cagnina-Reilly
- Eileen Cahill
All providers in Lindenhurst, 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 Oct 9, 2015. 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.