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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: August 16, 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.