SHAWN-AMY RAE BAZARGAN-LARI


Address: 475 Watervliet Shaker Rd, Latham, NY 12110-4622
Phone: 5187851341

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WS0200X Registered Nurse
Specialization: School
511807 NY Nursing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY 03052893 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
30 Southgate Rd, Loudonville, NY 122111132 5187856607

Office Location

Street Address 475 WATERVLIET SHAKER RD
City LATHAM
State NY
Zip Code 12110-4622

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 163WS0200X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization School

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Competitor

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City LATHAM
Zip Code 12110

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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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