SHAWN-AMY RAE BAZARGAN-LARI (NPI# 1003376898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003376898 |
Entity Type | Individual |
Full Name | SHAWN-AMY RAE BAZARGAN-LARI |
Credential | REGISTERED NURSE |
Practice Address |
475 Watervliet Shaker Rd Latham NY 12110-4622 |
Mailing Address |
91 Fiddlers Ln Latham NY 12110-5343 |
Practice Telephone | 5187851341 |
Mailing Telephone | 5187858591 |
Enumeration Date | 2019-03-20 |
Last Update Date | 2019-03-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WS0200X |
Registered Nurse Specialization: School |
511807 | NY | Nursing Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 03052893 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
30 Southgate Rd, Loudonville, NY 122111132 | 5187856607 |
Street Address |
475 WATERVLIET SHAKER RD |
City | LATHAM |
State | NY |
Zip Code | 12110-4622 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851664668 | Donna K. Healey | Speech-Language Pathologist | 475 Watervliet Shaker Rd, Latham, NY 12110-4622 | 2012-02-10 |
1063068641 | Chelsea Lee Young | Registered Nurse | 475 Watervliet Shaker Rd, Latham, NY 12110-4698 | 2019-08-10 |
1114480092 | Dana King Brizee | Registered Nurse | 475 Watervliet Shaker Rd, Latham, NY 12110-4622 | 2019-04-09 |
1942604129 | Suzanne Sail | Registered Nurse | 475 Watervliet Shaker Rd, Latham, NY 12110-4622 | 2014-10-16 |
1174925325 | Miel Norwood Fajen | Psychologist | 475 Watervliet Shaker Rd, Latham, NY 12110-4622 | 2014-09-18 |
1245504208 | Joan Schneider | Registered Nurse | 475 Watervliet Shaker Rd, Shaker Junior High School, Latham, NY 12110-4622 | 2012-03-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154963973 | Bayley Archinal | Physical Therapist | 711 Troy-schenectady Road, Ste 216, Latham, NY 12110 | 2019-10-14 |
1114410701 | Kimberly A. Hostig Licensed Clinical Social Worker Pllc | Clinic/Center | 8 Stanley Cir Ste 11, Latham, NY 12110 | 2018-06-08 |
1710477260 | Colleen Phillips | Physical Therapist | 711 Troy Schenectady Rd Ste 216, Latham, NY 12110 | 2018-05-10 |
1528574779 | Deborah Cannon | Specialist | 33c Waterford Avenue East, Latham, NY 12110 | 2017-12-26 |
1730600149 | Michael Navarrete | Dentist | 231 Wade Road Ext Unit 101, Latham, NY 12110 | 2017-07-06 |
1316499452 | Colonie Asc LLC | Clinic/Center | 207 Troy-schenectady Rd, Colonie, NY 12110 | 2016-10-25 |
1720539950 | Tania M Durante | Pharmacist | 1057 Troy-schenectady Rd, Latham, NY 12110 | 2016-10-24 |
1417344987 | New York Epilepsy Medicine, PC | Clinic/Center | 3 Lear Jet Ln Ste 203, Latham, NY 12110 | 2015-04-22 |
1346664752 | Lauren Gannon | Registered Nurse | 95 Forts Ferry Road, Latham, NY 12110 | 2014-02-06 |
1649522756 | Natasha Kapsaroff-ruiz | Nurse Practitioner | 654 Watervliet Shaker Rd, Latham, NY 12110 | 2012-10-12 |
Find all providers in zip 12110 |
Taxonomy Code | 163WS0200X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | School |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588035299 | Melissa Bulson | Registered Nurse | 445 Watervliet-shaker Road, Latham, NY 12110-4697 | 2015-10-08 |
1346664752 | Lauren Gannon | Registered Nurse | 95 Forts Ferry Road, Latham, NY 12110 | 2014-02-06 |
1891067724 | Mary Lou Madrick | Registered Nurse | 34 Citation Dr, Latham, NY 12110-1950 | 2012-02-08 |
1821360843 | Nancy Ann Zandri | Registered Nurse | 6 Mercer Ave, Latham, NY 12110-3304 | 2012-02-07 |
1285906305 | Suzanne Evangelista | Registered Nurse | 347 Old Loudon Rd, Latham, NY 12110-2941 | 2012-02-06 |
1609158849 | Kimberly Anne Medici | Registered Nurse | 100 Clinton Rd, Latham, NY 12110-4200 | 2011-09-14 |
1063068641 | Chelsea Lee Young | Registered Nurse | 475 Watervliet Shaker Rd, Latham, NY 12110-4698 | 2019-08-10 |
1114480092 | Dana King Brizee | Registered Nurse | 475 Watervliet Shaker Rd, Latham, NY 12110-4622 | 2019-04-09 |
1073038329 | Tracy Delmerico | Registered Nurse | 91 Fiddlers Ln, Latham, NY 12110-5343 | 2017-08-08 |
1982128955 | Christine Terhune | Registered Nurse | 95 Forts Ferry Road, Latham, NY 12110 | 2017-08-01 |
Find all providers in LATHAM |
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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.