SHANNON LAREAU (NPI# 1285170043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285170043 |
| Entity Type | Individual |
| Full Name | SHANNON LAREAU |
| Credential | LPN |
| Practice Address |
918 Ulster Ave Kingston NY 12401-1344 |
| Practice Telephone | 8453396683 |
| Practice Fax Number | 8453397319 |
| Mailing Telephone | 8453396683 |
| Mailing Fax Number | 8453397319 |
| Enumeration Date | 2017-01-17 |
| Last Update Date | 2017-01-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 313955 | NY | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | LPN LICENSE | 313955 | 01 |
| Street Address |
918 ULSTER AVE |
| City | KINGSTON |
| State | NY |
| Zip Code | 12401-1344 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497733562 | Ulster Home Health Services Inc | Home Health | 918 Ulster Ave, Kingston, NY 12401-1344 | 2006-01-09 |
| 1699376095 | Frank Umbrino Jr. | Physical Therapist | 918 Ulster Ave, Kingston, NY 12401-1344 | 2020-11-03 |
| 1194295998 | Ivyrehab Physical Therapy, Pllc | Physical Medicine & Rehabilitation | 918 Ulster Ave, Kingston, NY 12401-1344 | 2018-12-05 |
| 1932607256 | Eric Wolf | Physical Therapist | 918 Ulster Ave, Kingston, NY 12401-1344 | 2018-02-01 |
| 1598270506 | Susan Bernice Brooks | Registered Nurse | 918 Ulster Ave, Kingston, NY 12401-1344 | 2017-12-13 |
| 1770096091 | Noreen Marie Sheehan | Registered Nurse | 918 Ulster Ave, Kingston, NY 12401-1344 | 2017-11-08 |
| 1255843561 | Mary Redlich | Registered Nurse | 918 Ulster Ave, Kingston, NY 12401-1344 | 2017-10-26 |
| 1851837207 | Keri Mulder | Registered Nurse | 918 Ulster Ave, Kingston, NY 12401 | 2017-01-10 |
| 1023553831 | Mary E Mcshea | Registered Nurse | 918 Ulster Ave, Always There Healthcare, Kingston, NY 12401 | 2017-01-03 |
| 1578008389 | Jennifer S. Lindig | Registered Nurse | 918 Ulster Ave, Kingston, NY 12401 | 2017-01-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215565783 | Health Quest Medical Practice, PC | Surgery | 1240 Ulster Avenue--breast Depart., Kingston, NY 12401 | 2020-03-31 |
| 1306474879 | Health Quest Medical Practice, PC | Surgery | 1240 Ulster Avenue --surg. Onc. Dept, Kingston, NY 12401 | 2020-03-31 |
| 1811523384 | Health Quest Medcial Practice, PC | Podiatrist | The Center for Wound Healing, 670 Stoneleigh Avenue, Carmel, NY 12401 | 2020-03-17 |
| 1013552181 | Health Quest Medical Practice, PC | Emergency Medicine | 1240 Ulster Avenue, Kingston, NY 12401 | 2019-11-13 |
| 1073156808 | Vala Conklin | Hearing Instrument Specialist | Beltone, 10 Westbrook Lane, Kingston, NY 12401 | 2019-10-24 |
| 1306304860 | Laura Juliane Isele | Dietitian, Registered | 521 Boices Lane Taconic Ddso, Kingston, NY 12401 | 2019-03-04 |
| 1104345107 | Shiv Ramlochan | Licensed Practical Nurse | 1 Family Drive, Kingston, NY 12401 | 2017-09-12 |
| 1346776333 | Sara Bockelmann | Licensed Practical Nurse | 616 Kiersted Ave, Kingston, NY 12401 | 2017-05-11 |
| 1093265472 | Janelle Haylett | Pathology | 121 Rondout Drive, Q, Kingston, NY 12401 | 2016-10-10 |
| 1669830873 | Julie Brady | Counselor | 154 Fair Street #2, Kingston, NY 12401 | 2016-02-02 |
| Find all providers in zip 12401 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891310249 | Bophar Marie-france Soum | Licensed Practical Nurse | 2143 Sawkill Ruby Rd, Kingston, NY 12401-7127 | 2020-06-11 |
| 1467097766 | Yvette D Spearman | Licensed Practical Nurse | 18 Clinton Ave, Kingston, NY 12401-5402 | 2019-11-10 |
| 1023501426 | Arnold J Walker | Licensed Practical Nurse | 119 Sheehan Ct, Kingston, NY 12401-2213 | 2018-06-11 |
| 1134617947 | Melissa Anne Swart | Licensed Practical Nurse | 83 Roosevelt Ave, Kingston, NY 12401-2025 | 2018-04-26 |
| 1497254411 | Nicole A Beaver | Licensed Practical Nurse | 43 Gage St, Kingston, NY 12401-3019 | 2018-02-05 |
| 1861900953 | Porscha Frost | Licensed Practical Nurse | 114 Harwich St, Kingston, NY 12401-1819 | 2018-01-11 |
| 1104345107 | Shiv Ramlochan | Licensed Practical Nurse | 1 Family Drive, Kingston, NY 12401 | 2017-09-12 |
| 1720509367 | Tiffany Perry | Licensed Practical Nurse | 17 Clinton Ave, Kingston, NY 12401-5454 | 2017-07-05 |
| 1346776333 | Sara Bockelmann | Licensed Practical Nurse | 616 Kiersted Ave, Kingston, NY 12401 | 2017-05-11 |
| 1023543469 | Rachael Rivera | Licensed Practical Nurse | 305 Hurley Ave Apt 26k, Kingston, NY 12401-6813 | 2017-04-24 |
| Find all providers in KINGSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.