SOO YEON SHIN (NPI# 1205445640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205445640 |
| Entity Type | Individual |
| Full Name | SOO YEON SHIN |
| Practice Address |
134 Homer Ave Cortland NY 13045-1206 |
| Mailing Address |
1 Guthrie Sq Sayre PA 18840-1625 |
| Practice Telephone | 6077563500 |
| Enumeration Date | 2020-07-30 |
| Last Update Date | 2020-07-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
346297 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
134 HOMER AVE |
| City | CORTLAND |
| State | NY |
| Zip Code | 13045-1206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740287531 | Guthrie Cortland Medical Center | General Acute Care Hospital | 134 Homer Ave, Cortland, NY 13045-1206 | 2005-07-07 |
| 1831720481 | Ellen Rose Scott | Nurse Practitioner | 134 Homer Ave, Cortland, NY 13045-1206 | 2020-02-03 |
| 1750921649 | Michael A Fernandez | Physical Therapist | 134 Homer Ave, Cortland, NY 13045-1206 | 2020-01-09 |
| 1477191708 | Stacy Marie Salanger | Registered Nurse | 134 Homer Ave, Cortland, NY 13045-1206 | 2019-12-17 |
| 1871073882 | Rebecca Elizabeth Wahl | Registered Nurse | 134 Homer Ave, Cortland, NY 13045-1206 | 2018-08-19 |
| 1104313931 | Danielle Therese Minoia | Registered Nurse | 134 Homer Ave, Cortland, NY 13045-1206 | 2018-04-17 |
| 1346759149 | Justina Street | Physical Therapist | 134 Homer Ave, Cortland, NY 13045-1206 | 2017-09-25 |
| 1528585320 | Lauren Shirley | Physical Therapist | 134 Homer Ave, Cortland, NY 13045-1206 | 2017-08-23 |
| 1053841577 | Bridget Wilson | Nurse Practitioner | 134 Homer Ave, Cortland, NY 13045-1206 | 2017-06-18 |
| 1437686623 | Patricia Bunnelle | Registered Nurse | 134 Homer Ave, Cortland, NY 13045-1206 | 2017-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336783521 | Richie Wells Jr. | Student in an Organized Health Care Education/Training Program | Stratton Drive, Park Center Athletic Training Room, Cortland, NY 13045 | 2019-10-31 |
| 1518509504 | Paige Morrow | Occupational Therapist | 1710 Ny-13, Cortland, NY 13045 | 2019-10-11 |
| 1154972453 | Ayla Fialko | Acupuncturist | 17-29 Main Street, Suite Ll13, Cortland, NY 13045 | 2019-09-27 |
| 1043714330 | Denise Lynn Bushnell-lhommedieu | Licensed Practical Nurse | 11 Owego Street, Cortland, NY 13045 | 2018-03-21 |
| 1659817864 | Sarah Schmied | Registered Nurse | Cayuga Clinic At Kinney Drugs, 3666 Route 281, Cortland, NY 13045 | 2017-01-11 |
| 1457895278 | Mohammad Djafari Md | Physician Assistant | 15-17 Kennedy Parkway, Cortland, NY 13045 | 2016-12-13 |
| 1295125060 | Laura K May | Counselor | 17 Main St., Cortland, NY 13045 | 2015-01-30 |
| 1295081149 | Sirgany Eyecare LLC | Eyewear Supplier (Equipment, not the service) | 992 State Rte 13, Cortland, NY 13045 | 2012-07-30 |
| 1205106879 | Mary Marcella Ray | Licensed Practical Nurse | 84 Greenbush St., Cortland, NY 13045 | 2012-01-12 |
| 1326318494 | Kimberly Rowland | Registered Nurse | 2824 Page Green Rd, Cortland, NY 13045 | 2012-01-06 |
| Find all providers in zip 13045 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043844608 | Shelby Anne Brenkert | Nurse Practitioner | 6631 State Route 46, Cortland, OH 44410-8606 | 2020-02-23 |
| 1679088223 | Christine Noel Humfleet | Nurse Practitioner | 2600 Elm Rd Ne Bldg D, Cortland, OH 44410-9393 | 2017-12-05 |
| 1396197489 | Jessica J Bergeron | Nurse Practitioner | 32 Graham Ave, B-26 Van Hoesen Hall, Cortland, NY 13045-1637 | 2016-07-13 |
| 1962814848 | Raymundo Corrales | Nurse Practitioner | 3673 Allen Dr, Cortland, NY 13045-3471 | 2014-05-27 |
| 1205881166 | Jenniferleigh Vonderhorst Clune | Nurse Practitioner | 4077 West Road, Cortland, NY 13045 | 2006-05-22 |
| 1619959343 | Kelly J Hirsch | Nurse Practitioner | 4077 West Rd, Cortland, NY 13045-1637 | 2005-11-17 |
| 1609418367 | Jolynn Marie Labouf | Nurse Practitioner | 3993 West Rd, Cortland, NY 13045-1843 | 2019-10-15 |
| 1720641129 | Nikkie Sophia Strauf | Nurse Practitioner | 1259 Fisher Ave, Cortland, NY 13045-1012 | 2019-04-22 |
| 1568926434 | Jeannie Lynne Williams | Nurse Practitioner | 4038 West Rd, Cortland, NY 13045 | 2019-01-25 |
| 1669948006 | Lisa L Zimmerman | Nurse Practitioner | 2600 Elm Rd Ne Bldg D, Cortland, OH 44410-9337 | 2018-10-23 |
| Find all providers in CORTLAND | ||||
Please comment or provide details below to improve the information on SOO YEON SHIN.
| 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.