SUEANNE SHEPPARD-NIEDHAMMER (NPI# 1508925959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508925959 |
| Entity Type | Individual |
| Full Name | SUEANNE SHEPPARD-NIEDHAMMER |
| Credential | LPN |
| Practice Address |
110 White Birch Est Fort Edward NY 12828-9273 |
| Practice Telephone | 5187923258 |
| Mailing Telephone | 5187923258 |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 200223 | NY | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02315319 | 05 |
| Street Address |
110 WHITE BIRCH EST |
| City | FORT EDWARD |
| State | NY |
| Zip Code | 12828-9273 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194036772 | Theresa Anne Boire | Specialist | 270 County Route 42, Fort Edward, NY 12828 | 2010-06-29 |
| 1972838506 | Sandra Pollaro | Social Worker | 1153 Burgoyne Avenue, Hudson Falls Central School District, Fort Edward, NY 12828 | 2009-10-15 |
| 1063683845 | Barbara Elizabeth Tyler | Registered Nurse | 38 Seminary Street, Fort Edward, NY 12828 | 2008-03-19 |
| 1942386594 | Gayle J Pliscofsky | Occupational Therapist | 214 State Route 197, Fort Edward, NY 12828 | 2006-10-27 |
| 1437166626 | Moreau Emergency Squad Inc | Ambulance | 1583 State Rt 9, Fort Edward, NY 12828 | 2006-08-01 |
| 1427031319 | Fort Edward Rescue Squad Inc | Ambulance | 75 Schuyler Street, Fort Edward, NY 12828 | 2005-11-23 |
| 1639585540 | Michele Harding | Nurse Practitioner | 375 Broadway, Fort Edward, NY 12828 | 2014-07-11 |
| 1730548702 | Washington County Ofa | Public Health or Welfare | 383 Broadway, Fort Edward, NY 12828-1001 | 2016-02-18 |
| 1235365065 | Stephen Lape | Licensed Practical Nurse | 47 Park Ave, Fort Edward, NY 12828-1031 | 2009-06-08 |
| 1255697538 | Donna M Dapolito | Social Worker | 1153 Burgoyne Avenue, Suite 2, Fort Edward, NY 12828-1134 | 2012-04-11 |
| Find all providers in zip 12828 | ||||
| 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 |
|---|---|---|---|---|
| 1528510914 | Lisa Goodrich | Licensed Practical Nurse | 242 Reservoir Rd, Fort Edward, NY 12828-2408 | 2016-11-01 |
| 1831442698 | Shanna G Clark | Licensed Practical Nurse | 130 White Birch Est, Fort Edward, NY 12828-9275 | 2012-10-18 |
| 1689935215 | Ashley Diane Johnson | Licensed Practical Nurse | 3068 County Route 46, Fort Edward, NY 12828-3404 | 2012-05-30 |
| 1043548118 | Bonnie Summers Ovitt | Licensed Practical Nurse | 9 Stevens Ln, Fort Edward, NY 12828-1211 | 2009-11-30 |
| 1770816589 | Marinea Bonenfant | Licensed Practical Nurse | 58 Notre Dame St, Fort Edward, NY 12828-1914 | 2009-09-10 |
| 1962563098 | Roland Edward Bovair | Licensed Practical Nurse | 13 White Birch Est, Fort Edward, NY 12828-9220 | 2006-12-13 |
| 1740640416 | Leslie Carpenter | Licensed Practical Nurse | 1153 Burgoyne Ave, Fort Edward, NY 12828-1137 | 2016-02-24 |
| 1265702476 | Hudson Falls School District | Licensed Practical Nurse | 1153 Burgoyne Ave, Fort Edward, NY 12828-1135 | 2012-01-04 |
| 1235365065 | Stephen Lape | Licensed Practical Nurse | 47 Park Ave, Fort Edward, NY 12828-1031 | 2009-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780503 | Michael Lee Hendryx | Licensed Practical Nurse | 803 Bell St, Olean, NY 14760-3005 | 2020-11-06 |
| 1720689664 | Chynna S Brown | Licensed Practical Nurse | 483 Newbury St, Rochester, NY 14615-3209 | 2020-11-06 |
| 1588265433 | Deanna Lucas | Licensed Practical Nurse | 206 Prospect Pl, Bay Shore, NY 11706-1537 | 2020-11-06 |
| 1659972511 | Katiesianna Marie Kovalsky | Licensed Practical Nurse | 718 Griswold Hts, Troy, NY 12180-5168 | 2020-11-05 |
| 1538760608 | Shanequa Marshall | Licensed Practical Nurse | 100 Park Ave Apt 1, Amityville, NY 11701-3165 | 2020-11-05 |
| 1780285007 | Jarleyn Severino | Licensed Practical Nurse | 10 Waterview Pl, Lynbrook, NY 11563-1921 | 2020-11-03 |
| 1023619590 | Lisa A Loomis | Licensed Practical Nurse | 2198 Us Highway 20, Nassau, NY 12123-1733 | 2020-11-02 |
| 1235739061 | Kathleen Zalamea | Licensed Practical Nurse | 37 Howells Rd, Bay Shore, NY 11706-6502 | 2020-10-30 |
| 1649870494 | Khairat Salami | Licensed Practical Nurse | 1538 Washington Ave Apt 1, Bronx, NY 10457-8334 | 2020-10-30 |
| 1518567437 | Catherine Grullon | Licensed Practical Nurse | 32 Crescent Ave, Newburgh, NY 12550-3134 | 2020-10-29 |
| Find all providers with the same taxonomy | ||||
| City | FORT EDWARD |
| Zip Code | 12828 |
Please comment or provide details below to improve the information on SUEANNE SHEPPARD-NIEDHAMMER.
| 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.