Shahbanoo Ghaffari Zandi, N.P

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

305524 Issued in NY

Practice address

481 Route 11
Champlain, NY 12919-0000

Phone

(518) 298-2691

Fax

(518) 298-8241

NPI assigned

Jan 7, 2011

Last updated

Dec 13, 2016By 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

Medicare fee-for-service enrollment

Enrolled in NY, CO2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• In Health Family Medicine PC

  • Family Medicine Physician
  • Plattsburgh, NY
  • NPI 1841565686
  Medicare reassignment
• Heartlight Family Clinic, LLC

  dba Redwood Castle Rock

  • Primary Care Clinic/Center
  • Castle Rock, CO
  • NPI 1639529738
  Medicare reassignment
• Dr Richard J D'Amico DO PC

  • Family Medicine Physician
  • Plattsburgh, NY
  • NPI 1780607085
  NPD
• Hudson Headwaters Health Network

  • Primary Care Clinic/Center
  • Champlain, NY
  • NPI 1245285170
  NPD (past)
• Hudson Headwaters Health Network

  • Primary Care Clinic/Center
  • Salem, NY
  • NPI 1982417119
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1294358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481587200000",
    "number": "1962706804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 MARGARET ST",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129012925",
            "telephone_number": "518-562-2369",
            "fax_number": "518-562-2263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "481 ROUTE 11",
            "city": "CHAMPLAIN",
            "state": "NY",
            "postal_code": "129190000",
            "telephone_number": "518-298-2691",
            "fax_number": "518-298-8241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHAFFARI ZANDI",
        "first_name": "SHAHBANOO",
        "credential": "N.P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-07",
        "last_updated": "2016-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "305524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Champlain EMS Inc
• Candice Michelle Ciolac, MD
• Alyson Blake Curry, LCSW-R
• Jennifer C Dion, RN
• Nicole Mary Durnin, PHARMD
• Katelyn Gonyo
• Finnick Louise Hakamaki, PA-C
• Samantha Yvonne Harris, DPM
• Laurie Ann Harrison, R.PH.
• Peter M Harrison, RPH

• Adult Health Nurse Practitioner in Champlain, NY
• Providers in Champlain, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.