SHASTA STEPHENS (NPI# 1417312315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417312315 |
| Entity Type | Individual |
| Full Name | SHASTA STEPHENS |
| Credential | NP |
| Practice Address |
7785 N State St Lewis County General Hospital Lowville NY 13367-1229 |
| Mailing Address |
1160 Chili Ave Rochester NY 14624-3035 |
| Practice Telephone | 3153765200 |
| Enumeration Date | 2015-12-18 |
| Last Update Date | 2015-12-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
307579 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
7785 N STATE ST LEWIS COUNTY GENERAL HOSPITAL |
| City | LOWVILLE |
| State | NY |
| Zip Code | 13367-1229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346246428 | Elwin L Stillman | Family Medicine | 7785 N State St, Ste 330, Lowville, NY 13367-1229 | 2005-06-23 |
| 1245853183 | Sara Hunsicker | Physician Assistant | 7785 N State St, Lowville, NY 13367-1229 | 2020-05-27 |
| 1366063471 | Barbara Ellen Anderson | Nurse Practitioner | 7785 N State St, Lowville, NY 13367-1229 | 2020-04-29 |
| 1518592054 | Kaitlyn Elizabeth Given | Nurse Anesthetist, Certified Registered | 7785 N State St, Lowville, NY 13367-1297 | 2020-03-05 |
| 1255962288 | Jennifer S Cihocki | Occupational Therapist | 7785 N State St, Lowville, NY 13367-1229 | 2020-01-29 |
| 1114566353 | Lynne Pominville | Physical Therapist | 7785 N State St, Lowville, NY 13367-1229 | 2020-01-06 |
| 1891331039 | Randall Leroy Lehman | Physical Therapist | 7785 N State St, Lowville, NY 13367-1229 | 2019-11-22 |
| 1881230563 | Pco PC | Radiology | 7785 N State St, Lowville, NY 13367-1229 | 2019-11-18 |
| 1740842525 | Caryl Petrus | Physical Therapist | 7785 N State St, Lowville, NY 13367-1229 | 2019-07-02 |
| 1356807556 | Stephenie Ann Hunziker | Registered Nurse | 7785 N State St, Lowville, NY 13367-1229 | 2019-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497284426 | Abdelrahman Elgallad | Anesthesiology | 7785 N. State Street, Lowville, NY 13367 | 2017-06-04 |
| 1164887428 | Debra Ann Wiedmer | Occupational Therapist | 7020 State Rt. 12, Lowville, NY 13367 | 2015-12-30 |
| 1699165985 | Emily Marie Miller | Pharmacist | 7155 Nys Rt 12 South, Lowville, NY 13367 | 2015-01-26 |
| 1710247713 | Matthew J. Humphrey | Social Worker | 7550 South State St, Lowville, NY 13367 | 2012-05-23 |
| 1275856189 | Jane M Sanford | Counselor | 7714 Number Three Road, Lowville, NY 13367 | 2010-03-05 |
| 1043547151 | Marilyn A Planck Yancey | Occupational Therapist | 7441 Emi Lane, Lowville, NY 13367 | 2009-11-10 |
| 1053434613 | Allison Lynn Sammis | Pharmacist | 7395 Utica Bulevard, Lowville, NY 13367 | 2007-04-09 |
| 1598887622 | Jennifer Leigh Lovenduski | Pharmacist | Kinney Drugs, 7395 Utica Boulevard, Lowville, NY 13367 | 2007-04-06 |
| 1699853952 | Janine A Haver | Social Worker | 5440 Trinity Ave, Lowville, NY 13367 | 2006-11-02 |
| 1215015581 | William Burkhard | Counselor | 7550 South State Street, Lowville, NY 13367 | 2006-11-02 |
| Find all providers in zip 13367 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629081633 | Selina A Hughes | Nurse Practitioner | 7785 N State St, Suite 210, Lowville, NY 13367-1229 | 2006-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427871 | Tammie Kae Copp | Nurse Practitioner | 8266 Casson Rd, Lindley, NY 14858-9697 | 2020-11-08 |
| 1770184673 | Annette Virosami | Nurse Practitioner | 890 Trinity Ave Apt 8d, Bronx, NY 10456-7419 | 2020-11-06 |
| 1972104958 | Jonathan Dillera Nietes | Nurse Practitioner | 4411 Macnish St Apt 1g, Elmhurst, NY 11373-3609 | 2020-11-05 |
| 1407457088 | Sanjana Kumari | Nurse Practitioner | 62 Albertson Pl, Mineola, NY 11501-4601 | 2020-11-02 |
| 1780284927 | Hannah Catan | Nurse Practitioner | 473 W 158th St Apt 10, New York, NY 10032-5361 | 2020-10-27 |
| 1700486248 | Amandeep Kaur | Nurse Practitioner | 7638 270th St, New Hyde Park, NY 11040-1418 | 2020-10-26 |
| 1861091324 | Stacey M Jantsch | Nurse Practitioner | 8237 Cicero Mills Rd, Cicero, NY 13039-8344 | 2020-10-25 |
| 1871192468 | Adult Health Np House Calls, PC | Nurse Practitioner | 7954 Transit Rd # 134, Williamsville, NY 14221-4117 | 2020-10-23 |
| 1104425891 | Tze-hsuan Chao | Nurse Practitioner | 3916 Prince St Ste 257, Flushing, NY 11354-5367 | 2020-10-22 |
| 1992304968 | Nicholas Robinson | Nurse Practitioner | 295 Essjay, Williamsville, NY 14221 | 2020-10-21 |
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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.