JENNIFER LACKIE-SHOOK RN
NPI 1831051614
Registered Nurse in West Middletown, NY

Active since December 01, 2025
15 FORTUNE ROAD, WEST MIDDLETOWN, NY 10941(914) 297-3345 Get Directions Write a Review

NPPES record last updated: December 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jennifer Lackie-shook Rn NPPES

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

JENNIFER LACKIE-SHOOK RN (NPI 1831051614) is an individual registered nurse in West Middletown, New York, licensed in New York (945965) and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1831051614
Entity TypeIndividualFemale
Primary Taxonomy163W00000X
Provider Legal NameJENNIFER LACKIE-SHOOKCredential: RN
Location Address15 FORTUNE ROADWest Middletown, NY 10941
Mailing Address15 Fortune RoadWest Middletown, NY 10941
Sole ProprietorNo
Enumeration DateDecember 1, 2025
NPPES CertifiedNovember 17, 2025
NPI 1831051614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License Licensed in NY · 945965
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
15 FORTUNE ROAD, West Middletown, NY 10941

Other Providers at the Same Location NPPES 12

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

Social Worker
15 FORTUNE ROAD
MIDDLETOWN, NY 10941
Registered Nurse
15 FORTUNE ROAD
MIDDLETOWN, NY 10941
Counselor (Professional)
15 FORTUNE ROAD
WEST MIDDLETOWN, NY 10941
Registered Nurse
15 FORTUNE ROAD
WEST MIDDLETOWN, NY 10941
Social Worker
15 FORTUNE ROAD
WEST MIDDLETOWN, NY 10941
Counselor (Professional)
15 FORTUNE ROAD
MIDDLETOWN, NY 10941
Counselor (Mental Health)
15 FORTUNE ROAD
MIDDLETOWN, NY 10941
Nurse Practitioner (Psychiatric/Mental Health)
15 FORTUNE ROAD
MIDDLETOWN, NY 10941

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 Jennifer Lackie-shook's NPI number?

The NPI number for Jennifer Lackie-shook is 1831051614. It was assigned to this individual provider in the NPPES registry on December 1, 2025.

Where is Jennifer Lackie-shook located?

Jennifer Lackie-shook practices at 15 Fortune Road, West Middletown, NY 10941. The listed phone number is (914) 297-3345.

What is Jennifer Lackie-shook's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

When was this NPI record last updated?

The NPPES record for Jennifer Lackie-shook was last updated on December 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.