JENNIFER SHATTUCK (NPI# 1386920304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386920304 |
| Entity Type | Individual |
| Full Name | JENNIFER SHATTUCK |
| Practice Address |
108 Education Dr Mpms Room 127 Schenectady NY 12303-1238 |
| Practice Telephone | 5188813413 |
| Practice Fax Number | 5188813411 |
| Mailing Telephone | 5188813413 |
| Mailing Fax Number | 5188813411 |
| Enumeration Date | 2011-10-24 |
| Last Update Date | 2011-10-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WS0200X |
Registered Nurse Specialization: School |
516385 | NY | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01406986 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023032729 | Jennifer Anne Shattuck | Nurse Practitioner | 260 Riverside Dr, Johnson City, NY 13790-2745 | 2006-07-26 |
| 1104807957 | Jennifer Shattuck | Nurse Anesthetist, Certified Registered | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2005-11-09 |
| Street Address |
108 EDUCATION DR MPMS ROOM 127 |
| City | SCHENECTADY |
| State | NY |
| Zip Code | 12303-1238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336268440 | Stacy Shafer | Speech-Language Pathologist | 108 Education Dr, Schenectady, NY 12303-1238 | 2007-03-28 |
| 1518520246 | Traci Ewa-aulin Bienduga | Local Education Agency (LEA) | 108 Education Dr, Schenectady, NY 12303-1238 | 2019-04-18 |
| 1700387685 | Anna F Brady | Nurse Practitioner | 108 Education Dr, Schenectady, NY 12303-1238 | 2018-02-26 |
| 1659810059 | Amanda Tyrrell Lewicki | Speech-Language Pathologist | 108 Education Dr, Schenectady, NY 12303-1297 | 2017-02-17 |
| 1437695749 | Michelle Primomo | Social Worker | 108 Education Dr, Schenectady, NY 12303-1238 | 2017-01-10 |
| 1821546185 | Mary Lafountain | Social Worker | 108 Education Dr, Schenectady, NY 12303-1238 | 2016-09-15 |
| 1629433537 | Linda Neison | Speech-Language Pathologist | 108 Education Dr, Schenectady, NY 12303-1238 | 2015-12-18 |
| 1205206554 | Jessica Lee Roth | Speech-Language Pathologist | 108 Education Dr, Schenectady, NY 12303-1297 | 2015-09-30 |
| 1558739888 | Colleen Guy | Local Education Agency (LEA) | 108 Education Dr, Schenectady, NY 12303-1238 | 2015-09-03 |
| 1447512223 | Linda W Noonan | Registered Nurse | 108 Education Dr, Schenectady, NY 12303-1238 | 2012-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356991608 | Eunice Matias | Technician | 7036 Suzanne Lane, Schenectady, NY 12303 | 2019-09-18 |
| 1497280176 | Krystal Varrenti | Registered Nurse | 3437 Carman Road, Pine Bush Elementary School, Schenectady, NY 12303 | 2017-05-01 |
| 1801291943 | Michelle Anne Durling | Registered Nurse | 2057 Rensselare Ave, Schenectady, NY 12303 | 2014-10-31 |
| 1447691068 | Dametress Maryland Haughton | Licensed Practical Nurse | 2303 2nd Avenue, Rotterdam, NY 12303 | 2013-07-11 |
| 1669721841 | Michelle L Hall, Od, Pllc | Optometrist | 3770 Carman Road, #6b, Schenectady, NY 12303 | 2012-09-05 |
| 1851640403 | Christina Marie Pustay | Specialist | 3437 Carman Rd., Schenectady, NY 12303 | 2012-08-29 |
| 1598048332 | Alicia Backus | Social Worker | 108 Education Drive, Schenectady, NY 12303 | 2011-09-27 |
| 1922321611 | Leanne C Williams | Pharmacist | 1630 Chrisler Avenue, Schenectady, NY 12303 | 2010-03-09 |
| 1942487814 | William J Dawson | Pharmacist | 1350 Altamont Ave, Schenectady, NY 12303 | 2008-01-23 |
| 1598958845 | Alan Beck | Pharmacist | 1400 Altamount Ave, Schenectady, NY 12303 | 2007-08-21 |
| Find all providers in zip 12303 | ||||
| Taxonomy Code | 163WS0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306471875 | Amy Fenlon | Registered Nurse | 2995 Curry Rd Ext, Schenectady, NY 12303-2801 | 2020-03-05 |
| 1952883712 | Wendi Marie Solomon-nish | Registered Nurse | 421 Elm St, Schenectady, NY 12304-1209 | 2018-08-29 |
| 1497280176 | Krystal Varrenti | Registered Nurse | 3437 Carman Road, Pine Bush Elementary School, Schenectady, NY 12303 | 2017-05-01 |
| 1225315625 | Linda Ann Hilts | Registered Nurse | 806 Union St, Schenectady, NY 12308-3104 | 2011-11-14 |
| 1124301353 | Lisa Marie Center | Registered Nurse | 1252 Albany St, Schenectady, NY 12304-2702 | 2011-09-23 |
| 1639451990 | Cathleen Mcmahon | Registered Nurse | 408 Eleanor St, Schenectady, NY 12306-3122 | 2011-09-13 |
| 1033739396 | Jennifer L Vendetti | Registered Nurse | 1121 Forest Rd, Schenectady, NY 12303-1219 | 2020-04-16 |
| 1235772088 | Deborah Lemonds | Registered Nurse | 1097 Forest Rd, Schenectady, NY 12303-1149 | 2019-10-24 |
| 1285100313 | Annie Colina | Registered Nurse | 918 Stanley St, Schenectady, NY 12307-1611 | 2018-10-16 |
| 1427523786 | Haley Miller | Registered Nurse | 2995 Curry Rd, Schenectady, NY 12303-2801 | 2018-10-12 |
| Find all providers in SCHENECTADY | ||||
| City | SCHENECTADY |
| Zip Code | 12303 |
Please comment or provide details below to improve the information on JENNIFER SHATTUCK.
| 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.