MS. SHANNON BLUME-KESSELRING NP NPI 1700893914

NPI Information

NPI: 1700893914
Provider Name: MS. SHANNON BLUME-KESSELRING, NP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
86 GENESEE STREET
NEW HARTFORD, NY
ZIP 13413
Phone: (315) 732-7909
Get Directions

MS. Shannon Blume-kesselring, NP is a pediatrics nurse practitioner in New Hartford, NY. MS. Shannon Blume-kesselring, NP NPI is 1700893914. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

86 GENESEE STREET
NEW HARTFORD, NY
ZIP 13413
Phone: (315) 732-7909
Fax: (315) 793-9307

The enumeration date for this NPI number is 8/1/2006 and was last updated on 11/2/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WP0200X	Registered Nurse	Pediatrics	4918541	NEW YORK	No
2	363LP0200X	Nurse Practitioner	Pediatrics	F333382	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	02254557	MEDICAID	NEW YORK
2	02996981	MEDICAID	NEW YORK
3	02873201	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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