LEAH CAROL SHAMBLIN FNP-BC
NPI 1083564272
Student in an Organized Health Care Education/Training Program in Albany, NY

Q: What is Leah Shamblin's NPI number?

The NPI number for Leah Shamblin is 1083564272. It was assigned to this individual provider in the NPPES registry on January 29, 2026.

Q: What is Leah Shamblin's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Leah Shamblin was last updated on January 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 29, 2026PECOS Enrolled

2 PALISADES DR, ALBANY, NY 12205(518) 458-2000(518) 458-1524 Get Directions Write a Review

NPPES record last updated: January 29, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Leah Carol Shamblin Fnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEAH CAROL SHAMBLIN FNP-BC (NPI 1083564272) is an individual student in an organized health care education/training program in Albany, New York and active in the NPI registry since January 2026. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1083564272

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameLEAH CAROL SHAMBLINCredential: FNP-BC

Location Address2 PALISADES DRAlbany, NY 12205-1438

Mailing AddressPo Box 14890Albany, NY 12212-4890

Phone(518) 458-2000

Fax(518) 458-1524

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateJanuary 29, 2026

NPPES CertifiedJanuary 29, 2026

✔ NPI 1083564272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2 PALISADES DR, Albany, NY 12205

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Secondary Practice Locations 3

Location 11735 Route 9Halfmoon, NY 12065-2421 · Phone (518) 458-2000 · Fax (518) 458-1524

Location 22 New Hampshire Ave Ste 200Troy, NY 12180-1762 · Phone (518) 458-2000 · Fax (518) 458-1524

Location 3156 Quaker RdQueensbury, NY 12804-1718 · Phone (518) 458-2000 · Fax (518) 458-1524

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Leah Carol Shamblin Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3173099454

PECOS Enrollment IDI20260415000092

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LAVANYA ALAPATI MD

Internal Medicine (Cardiovascular Disease)