MRS. SHEA LYNN BEACHNER


Address: 171 Intrepid Ln, Syracuse, NY 13205-2548
Phone: 3154374689

MRS. SHEA LYNN BEACHNER (NPI# 1679115588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679115588
Entity Type Individual
Full Name MRS. SHEA LYNN BEACHNER
Practice Address 171 Intrepid Ln
Syracuse
NY 13205-2548
Mailing Address 6373 Lakeshore Rd
Cicero
NY 13039-8827
Practice Telephone 3154374689
Mailing Telephone 3152473076
Enumeration Date 2019-10-11
Last Update Date 2019-10-11
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 174400000X Specialist 812557981 NY Other Service Providers
Y 174400000X Specialist 785742971 NY Other Service Providers

Office Location

Street Address 171 INTREPID LN
City SYRACUSE
State NY
Zip Code 13205-2548

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902907488 Todd M Stady Occupational Therapist 171 Intrepid Ln, Syracuse, NY 13205-2548 2006-09-26
1154937308 Andrea Auer Occupational Therapist 171 Intrepid Ln, Syracuse, NY 13205-2548 2020-09-22
1699386649 Chelsea Hufnagle Occupational Therapist 171 Intrepid Ln, Syracuse, NY 13205-2548 2020-08-13
1659981934 Margaret Ann Conklin Specialist 171 Intrepid Ln, Syracuse, NY 13205-2548 2020-08-03
1477171726 Julia Elizabeth Johnson Student in an Organized Health Care Education/Training Program 171 Intrepid Ln, Syracuse, NY 13205-2548 2020-07-13
1053934786 Kristin Hinkey Student in an Organized Health Care Education/Training Program 171 Intrepid Ln, Syracuse, NY 13205-2548 2020-05-28
1588297436 Abigail Jane Izzo Specialist 171 Intrepid Ln, Syracuse, NY 13205-2548 2020-02-19
1730723453 Teresa Jean Barrett Psychologist 171 Intrepid Ln, Syracuse, NY 13205-2548 2019-11-06
1396387296 Katelyn Michelle Warren Occupational Therapist 171 Intrepid Ln, Syracuse, NY 13205-2548 2019-10-11
1619519501 Melissa Ellstein Fellman Case Manager/Care Coordinator 171 Intrepid Ln, Syracuse, NY 13205-2548 2019-10-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710473707 Michelle E Case Social Worker 2610 S Salina St Ste 2, Syracuse, NY 13205 2018-07-02
1104332022 Gregory Ramsden Chiropractor 182 Intrepid Ln Ste B, Syracuse, NY 13205 2017-12-15
1619379286 Hope for Us Housing, Inc Home Health 5957 South Salina St, Syracuse, NY 13205 2014-09-25
1861822116 Michael Lee Loudner Registered Nurse 4842 Broad Rd, Syracuse, NY 13205 2013-11-24
1285987537 Teeatta Owens Licensed Practical Nurse 114 Mcclure Ave, Syracuse, NY 13205 2012-10-24
1891082533 Kamaloshini Poovalingam Student in an Organized Health Care Education/Training Program 211 Lafayette Road, 604, Syracuse, NY 13205 2011-07-01
1730483348 Kenneth E. Hoogs Md PC Urology 100 Intrepid Lane, Syracuse, NY 13205 2010-12-23
1699092361 Central Park Nursing Care 4905 S Salina St., Syracuse, NY 13205 2010-04-21
1215170741 Toni Ramele Moore Licensed Practical Nurse 614 W. Seneca Turnpike, Syracuse, NY 13205 2009-04-14
1851536080 Shalanda Cherrise Sutton Licensed Practical Nurse 228 W. Lafayette Rd, Syracuse, NY 13205 2008-12-02
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427664804 Claire I Williams Specialist 443 Westbrook Hills Dr, Syracuse, NY 13215-1886 2020-09-21
1396377313 Amanda Hopkins Specialist 123 Claire Rd, Syracuse, NY 13214-1907 2020-02-07
1679012975 Dalia Faouzi Eid Specialist 500 Harrison St Geneva Tower, Apt 1603, Syracuse, NY 13202-0000 2017-02-20
1891238150 Maria Todeschini Specialist 102 Suffolk Rd, Syracuse, NY 13219-1051 2016-11-18
1740734565 Amanda Nicole Smith Specialist 116 Marian Dr, Syracuse, NY 13219-2423 2016-08-10
1275981953 Lleni Pach Specialist 302 Halton Rd, Syracuse, NY 13224-2228 2016-06-02
1497120711 Siani Ym Amidon Specialist 3353 Pleasant Valley Rd, Syracuse, NY 13215-8673 2015-12-11
1154791283 Jessica Burton Specialist 215 Sedgwick St, Syracuse, NY 13203-3052 2015-10-01
1144636978 Kelly Rotella Specialist 515 Parsons Dr, Syracuse, NY 13219-2349 2014-07-01
1891100798 Linda Bogart Specialist 305 Hillside St, Syracuse, NY 13208-2341 2014-06-30
Find all providers in SYRACUSE

Competitor

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City SYRACUSE
Zip Code 13205

Improve Information

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Dataset Information

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.

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