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SHANNON BAILEY-BRADLEY
NPI 1346629425
Licensed Practical Nurse in Waterloo, NY

Active since May 22, 2015
119 STARK ST, WATERLOO, NY 13165(315) 651-1753 Get Directions Write a Review

NPPES record last updated: May 22, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shannon Bailey-bradley NPPES

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

SHANNON BAILEY-BRADLEY (NPI 1346629425) is an individual licensed practical nurse in Waterloo, New York, licensed in New York (281747-1) and active in the NPI registry since May 2015.

NPPES Registry Identity

NPI1346629425
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameSHANNON BAILEY-BRADLEY
Location Address119 STARK STWaterloo, NY 13165-8797
Mailing Address119 Stark StWaterloo, NY 13165 · (315) 651-1753
Phone(315) 651-1753
Sole ProprietorYes
Enumeration DateMay 22, 2015
✔ NPI 1346629425 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 · 281747-1
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.

119 STARK ST, Waterloo, NY 13165
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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 Shannon Bailey-bradley's NPI number?

The NPI number for Shannon Bailey-bradley is 1346629425. It was assigned to this individual provider in the NPPES registry on May 22, 2015.

Where is Shannon Bailey-bradley located?

Shannon Bailey-bradley practices at 119 Stark St, Waterloo, NY 13165. The listed phone number is (315) 651-1753.

What is Shannon Bailey-bradley'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 Shannon Bailey-bradley was last updated on May 22, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.