MRS. SHEA LYNN BEACHNER (NPI# 1679115588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679115588 |
| Entity Type | Individual |
| Full Name | MRS. SHEA LYNN BEACHNER |
| Practice Address |
171 Intrepid Ln Syracuse NY 13205-2548 |
| Mailing Address |
6373 Lakeshore Rd Cicero NY 13039-8827 |
| Practice Telephone | 3154374689 |
| Mailing Telephone | 3152473076 |
| Enumeration Date | 2019-10-11 |
| Last Update Date | 2019-10-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 812557981 | NY | Other Service Providers |
| Y | 174400000X | Specialist | 785742971 | NY | Other Service Providers |
| Street Address |
171 INTREPID LN |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13205-2548 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902907488 | Todd M Stady | Occupational Therapist | 171 Intrepid Ln, Syracuse, NY 13205-2548 | 2006-09-26 |
| 1154937308 | Andrea Auer | Occupational Therapist | 171 Intrepid Ln, Syracuse, NY 13205-2548 | 2020-09-22 |
| 1699386649 | Chelsea Hufnagle | Occupational Therapist | 171 Intrepid Ln, Syracuse, NY 13205-2548 | 2020-08-13 |
| 1659981934 | Margaret Ann Conklin | Specialist | 171 Intrepid Ln, Syracuse, NY 13205-2548 | 2020-08-03 |
| 1477171726 | Julia Elizabeth Johnson | Student in an Organized Health Care Education/Training Program | 171 Intrepid Ln, Syracuse, NY 13205-2548 | 2020-07-13 |
| 1053934786 | Kristin Hinkey | Student in an Organized Health Care Education/Training Program | 171 Intrepid Ln, Syracuse, NY 13205-2548 | 2020-05-28 |
| 1588297436 | Abigail Jane Izzo | Specialist | 171 Intrepid Ln, Syracuse, NY 13205-2548 | 2020-02-19 |
| 1730723453 | Teresa Jean Barrett | Psychologist | 171 Intrepid Ln, Syracuse, NY 13205-2548 | 2019-11-06 |
| 1396387296 | Katelyn Michelle Warren | Occupational Therapist | 171 Intrepid Ln, Syracuse, NY 13205-2548 | 2019-10-11 |
| 1619519501 | Melissa Ellstein Fellman | Case Manager/Care Coordinator | 171 Intrepid Ln, Syracuse, NY 13205-2548 | 2019-10-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710473707 | Michelle E Case | Social Worker | 2610 S Salina St Ste 2, Syracuse, NY 13205 | 2018-07-02 |
| 1104332022 | Gregory Ramsden | Chiropractor | 182 Intrepid Ln Ste B, Syracuse, NY 13205 | 2017-12-15 |
| 1619379286 | Hope for Us Housing, Inc | Home Health | 5957 South Salina St, Syracuse, NY 13205 | 2014-09-25 |
| 1861822116 | Michael Lee Loudner | Registered Nurse | 4842 Broad Rd, Syracuse, NY 13205 | 2013-11-24 |
| 1285987537 | Teeatta Owens | Licensed Practical Nurse | 114 Mcclure Ave, Syracuse, NY 13205 | 2012-10-24 |
| 1891082533 | Kamaloshini Poovalingam | Student in an Organized Health Care Education/Training Program | 211 Lafayette Road, 604, Syracuse, NY 13205 | 2011-07-01 |
| 1730483348 | Kenneth E. Hoogs Md PC | Urology | 100 Intrepid Lane, Syracuse, NY 13205 | 2010-12-23 |
| 1699092361 | Central Park | Nursing Care | 4905 S Salina St., Syracuse, NY 13205 | 2010-04-21 |
| 1215170741 | Toni Ramele Moore | Licensed Practical Nurse | 614 W. Seneca Turnpike, Syracuse, NY 13205 | 2009-04-14 |
| 1851536080 | Shalanda Cherrise Sutton | Licensed Practical Nurse | 228 W. Lafayette Rd, Syracuse, NY 13205 | 2008-12-02 |
| Find all providers in zip 13205 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427664804 | Claire I Williams | Specialist | 443 Westbrook Hills Dr, Syracuse, NY 13215-1886 | 2020-09-21 |
| 1396377313 | Amanda Hopkins | Specialist | 123 Claire Rd, Syracuse, NY 13214-1907 | 2020-02-07 |
| 1679012975 | Dalia Faouzi Eid | Specialist | 500 Harrison St Geneva Tower, Apt 1603, Syracuse, NY 13202-0000 | 2017-02-20 |
| 1891238150 | Maria Todeschini | Specialist | 102 Suffolk Rd, Syracuse, NY 13219-1051 | 2016-11-18 |
| 1740734565 | Amanda Nicole Smith | Specialist | 116 Marian Dr, Syracuse, NY 13219-2423 | 2016-08-10 |
| 1275981953 | Lleni Pach | Specialist | 302 Halton Rd, Syracuse, NY 13224-2228 | 2016-06-02 |
| 1497120711 | Siani Ym Amidon | Specialist | 3353 Pleasant Valley Rd, Syracuse, NY 13215-8673 | 2015-12-11 |
| 1154791283 | Jessica Burton | Specialist | 215 Sedgwick St, Syracuse, NY 13203-3052 | 2015-10-01 |
| 1144636978 | Kelly Rotella | Specialist | 515 Parsons Dr, Syracuse, NY 13219-2349 | 2014-07-01 |
| 1891100798 | Linda Bogart | Specialist | 305 Hillside St, Syracuse, NY 13208-2341 | 2014-06-30 |
| Find all providers in SYRACUSE | ||||
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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.