LACEY E SHAMBO DNP-BC NPI 1902537038

NPI Information

  • NPI: 1902537038
  • Provider Name: LACEY E SHAMBO, DNP-BC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 18983 US ROUTE 11
    WATERTOWN, NY
    ZIP 13601
  • Phone: (315) 782-0059

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NPI Details

Lacey E Shambo, DNP-BC is a family nurse practitioner in Watertown, NY with 3 years of experience. Lacey E Shambo, DNP-BC NPI is 1902537038. 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:

18983 US ROUTE 11
WATERTOWN, NY
ZIP 13601-320
Phone: (315) 782-0059

The NPI 1902537038 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)

The enumeration date for this NPI number is 6/20/2022 and was last updated on 3/26/2025.

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
1363LF0000XNurse PractitionerFamilyTPAN2536FLORIDANo
2363LF0000XNurse PractitionerFamily1169690TEXASNo
3163W00000XRegistered Nurse689095NEW YORKNo
4363LF0000XNurse PractitionerFamilyLG-0012858DELAWARENo
5363LF0000XNurse PractitionerFamily350243NEW YORKYes
6363LF0000XNurse PractitionerFamilyAPN.1000145-NPCOLORADONo
7363LF0000XNurse PractitionerFamily10042097OREGONNo
8363LF0000XNurse PractitionerFamily4036258KENTUCKYNo

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: 3/30/2025

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