JEANETTE M SHANAHAN (NPI# 1104479914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104479914 |
| Entity Type | Individual |
| Full Name | JEANETTE M SHANAHAN |
| Credential | RN |
| Practice Address |
53 Gibson Rd Goshen NY 10924-6709 |
| Practice Telephone | 8452910200 |
| Mailing Telephone | 8452910200 |
| Enumeration Date | 2019-07-20 |
| Last Update Date | 2019-07-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WS0200X |
Registered Nurse Specialization: School |
689372 | NY | Nursing Service Providers |
| Street Address |
53 GIBSON RD |
| City | GOSHEN |
| State | NY |
| Zip Code | 10924-6709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780775486 | Benita Hamilton | Physician Assistant | 53 Gibson Rd, Goshen, NY 10924-6709 | 2006-09-27 |
| 1043827330 | Rachel Hope Zukose | Speech-Language Pathologist | 53 Gibson Rd, Goshen, NY 10924-6709 | 2020-09-30 |
| 1689210833 | Erin Marie Byrne | Speech-Language Pathologist | 53 Gibson Rd, Goshen, NY 10924-6709 | 2019-11-22 |
| 1962051573 | Jessica Younghans | Occupational Therapist | 53 Gibson Rd, Goshen, NY 10924-6709 | 2019-09-06 |
| 1346736154 | Deborah Palastra | Physical Therapy Assistant | 53 Gibson Rd, Goshen, NY 10924-6709 | 2018-07-04 |
| 1316318223 | Jaime Pitingaro | Social Worker | 53 Gibson Rd, Goshen, NY 10924-6709 | 2015-10-19 |
| 1588054530 | Corey D Baker | Speech-Language Pathologist | 53 Gibson Rd, Goshen, NY 10924-6709 | 2015-01-29 |
| 1184030199 | Rachel Bauer | Speech-Language Pathologist | 53 Gibson Rd, Goshen, NY 10924-6709 | 2014-07-10 |
| 1598182917 | Jill West | Registered Nurse | 53 Gibson Rd, Goshen, NY 10924-6709 | 2014-03-24 |
| 1699199661 | Orange-ulster Board of Cooperative Educational Services | Registered Nurse | 53 Gibson Rd, Goshen, NY 10924-6709 | 2014-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487127239 | Yessica Amadis | Counselor | 27 Matthews Street, Goshen, NY 10924 | 2019-01-04 |
| 1649752668 | Lucinda Figueroa | Social Worker | Orange Intensive Day Treatment @ Ouboces Ah Ed Center, 4 Harriman Drive, Goshen, NY 10924 | 2018-09-06 |
| 1619499365 | Grace Catherine Stieh | Speech-Language Pathologist | 1997 Ny-17m #9, Goshen, NY 10924 | 2017-07-14 |
| 1255738902 | Linda S. Miller | Behavioral Analyst | 60 Erie Street #6, Suite 304, Goshen, NY 10924 | 2014-11-24 |
| 1275963894 | Ellen Martin | Speech-Language Pathologist | 9a Maplewood Terrace, Goshen, NY 10924 | 2013-11-18 |
| 1578803854 | Shirley Johnson | Social Worker | 3 Hatfield Lane Valley Behavioral Medicine, Suite 1, Goshen, NY 10924 | 2013-02-22 |
| 1689933566 | Gloria Sanabria | Licensed Practical Nurse | 252 Main St., Wellness Home Care, Goshen, NY 10924 | 2012-05-11 |
| 1780955377 | Karen Ann Walczak | Registered Nurse | 56 Gibson Rd., Goshen, NY 10924 | 2012-01-13 |
| 1699067884 | Cherie Lee Meci | Occupational Therapy Assistant | 52 Gibson Rd., Rcce, Goshen, NY 10924 | 2011-05-06 |
| 1053617597 | James Francis Kohut | Social Worker | Rcpc 53 Gibson Road, Goshen, NY 10924 | 2011-02-01 |
| Find all providers in zip 10924 | ||||
| Taxonomy Code | 163WS0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790099463 | Karlene H Kerr | Registered Nurse | 48 Gregory Dr, Goshen, NY 10924-1013 | 2010-08-04 |
| 1598182917 | Jill West | Registered Nurse | 53 Gibson Rd, Goshen, NY 10924-6709 | 2014-03-24 |
| 1699199661 | Orange-ulster Board of Cooperative Educational Services | Registered Nurse | 53 Gibson Rd, Goshen, NY 10924-6709 | 2014-02-12 |
| 1013287986 | Janet Elaine Brown | Registered Nurse | 53 Gibson Rd, Goshen, NY 10924-6709 | 2012-01-09 |
| 1942570106 | Patricia A Drain | Registered Nurse | 53 Gibson Rd, Goshen, NY 10924-6709 | 2012-01-05 |
| 1487922829 | Michelle Ann Davis | Registered Nurse | 53 Gibson Rd, Goshen, NY 10924-6709 | 2011-12-13 |
| 1184992562 | Debra Meerdink | Registered Nurse | 53 Gibson Rd, Goshen, NY 10924-6709 | 2011-12-13 |
| 1174807911 | Carol Folkl | Registered Nurse | 53 Gibson Rd, Goshen, NY 10924-6709 | 2011-09-28 |
| 1467754770 | Maureen Finnegan Kussard | Registered Nurse | 53 Gibson Rd, Goshen, NY 10924-6709 | 2010-11-19 |
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| 1689281198 | Jessica Fermin | Registered Nurse | 216 Avenue M Apt 1f, Brooklyn, NY 11230-4689 | 2020-09-29 |
| 1700493236 | Leslie Marie Lamirande | Registered Nurse | Van Buren Elementary School, 14 Ford Street, Baldwinsville, NY 13027 | 2020-09-29 |
| 1922615822 | Alyssa Jane Arlen | Registered Nurse | 4704 State Route 149, Hartford, NY 12838 | 2020-09-25 |
| 1790391845 | Anna Kichuk | Registered Nurse | 160 School Ln, Frankfort, NY 13340-4710 | 2020-09-23 |
| 1073127163 | Chava Bokchin | Registered Nurse | 6200 15th Avenue, Brooklyn, NY 11219 | 2020-09-04 |
| 1578172219 | Sasha Sara Martell | Registered Nurse | 2119 27th St Apt D1, Astoria, NY 11105-3014 | 2020-07-29 |
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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.