SHEDEEN STEPHENS-BACON NPI 1952038275

NPI Information

  • NPI: 1952038275
  • Provider Name: SHEDEEN STEPHENS-BACON
  • Classification: Clinical Nurse Specialist - 364SF0001X
  • Specialization: Family Health
  • Entity Type: Individual
  • Address: 488 FREEDOM RD
    120
    ARLINGTON, NY
    ZIP 12603
  • Phone: (845) 452-5151

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NPI Details

Shedeen Stephens-bacon is a family health clinical nurse specialist in Arlington, NY. Shedeen Stephens-bacon NPI is 1952038275. 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:

488 FREEDOM RD
120
ARLINGTON, NY
ZIP 12603
Phone: (845) 452-5151

The enumeration date for this NPI number is 8/5/2022 and was last updated on 9/25/2024.

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
1163W00000XRegistered Nurse613336-1NEW YORKNo
2390200000XStudent in an Organized Health Care Education/Training Program178679CONNECTICUTNo
3364SF0001XClinical Nurse SpecialistFamily HealthF354847NEW 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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