SHANATHA CRANDALL LPN
NPI 1205429875
Licensed Practical Nurse in Millport, NY

Q: What is Shanatha Crandall's NPI number?

The NPI number for Shanatha Crandall is 1205429875. It was assigned to this individual provider in the NPPES registry on February 15, 2021.

Q: What is Shanatha Crandall's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Shanatha Crandall was last updated on February 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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 February 15, 2021

58 NEW RD, MILLPORT, NY 14864(607) 259-6495(607) 398-2064 Get Directions Write a Review

NPPES record last updated: February 15, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Shanatha Crandall Lpn NPPES

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

SHANATHA CRANDALL LPN (NPI 1205429875) is an individual licensed practical nurse in Millport, New York, licensed in New York (326639) and active in the NPI registry since February 2021.

NPPES Registry Identity

NPI1205429875

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameSHANATHA CRANDALLCredential: LPN

Location Address58 NEW RDMillport, NY 14864-9764

Mailing Address58 New RdMillport, NY 14864-9764 · (607) 259-6495 · Fax (607) 398-2064

Phone(607) 259-6495

Fax(607) 398-2064

Sole ProprietorYes

Enumeration DateFebruary 15, 2021

NPPES CertifiedFebruary 15, 2021

✔ NPI 1205429875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in NY · 326639

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

58 NEW RD, Millport, NY 14864

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shanatha Crandall's NPI number?

The NPI number for Shanatha Crandall is 1205429875. It was assigned to this individual provider in the NPPES registry on February 15, 2021.

Where is Shanatha Crandall located?

Shanatha Crandall practices at 58 New Rd, Millport, NY 14864. The listed phone number is (607) 259-6495.

What is Shanatha Crandall's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Shanatha Crandall was last updated on February 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.