JENNIFER SHATTUCK


Address: 108 Education Dr, Mpms Room 127, Schenectady, NY 12303-1238
Phone: 5188813413

JENNIFER SHATTUCK (NPI# 1386920304) 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) 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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WS0200X Registered Nurse
Specialization: School
516385 NY Nursing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY 01406986 05

Other Providers JENNIFER SHATTUCK

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

Office Location

Street Address 108 EDUCATION DR
MPMS ROOM 127
City SCHENECTADY
State NY
Zip Code 12303-1238

Providers in the same location

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
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Providers in the same zip code

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
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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
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
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Competitor

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City SCHENECTADY
Zip Code 12303

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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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