SHANNON MARIE VASSAR NPI 1811506348

NPI Information

  • NPI: 1811506348
  • Provider Name: SHANNON MARIE VASSAR
  • Classification: Registered Nurse - 163WA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 20 AMPERSAND DR
    PLATTSBURGH, NY
    ZIP 12901
  • Phone: (518) 561-8480

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NPI Details

Shannon Marie Vassar is an addiction (substance use disorder) registered nurse in Plattsburgh, NY. Shannon Marie Vassar NPI is 1811506348. 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:

20 AMPERSAND DR
PLATTSBURGH, NY
ZIP 12901-500
Phone: (518) 561-8480
Fax: (518) 566-6382

The enumeration date for this NPI number is 7/30/2020 and was last updated on 7/30/2020.

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
1163WA0400XRegistered NurseAddiction (Substance Use Disorder)527060NEW YORKYes

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: 11/21/2025

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