Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lacey E Shambo, DNP-BC

Individual provider Family Nurse Practitioner · NPI 1902537038

Lacey E Shambo, DNP-BC is a Nurse Practitioner in Watertown, New York. Qualified in 2022, 4 years ago. Practices with Karen A. Williams MD PC, a 4-clinician group, works from 8 locations, accepts Medicare assignment and offers telehealth. Licensed in Colorado, Delaware, Florida and Kentucky and 3 more.

Years since qualifying
4
Licensed in
CO, DE, FL, KY, NY, OR
In the registry since
2022
Specialties on file
8
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Practice location Address checks out

18983 US Route 11
Watertown, NY 13601-5320
Phone: (315) 782-0059
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Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (7)

  • 3000 N Litchfield Rd Ste 120, Goodyear, AZ 85395-7802 — (949) 484-9517
  • 7261 S Broadway Ste 14l, Littleton, CO 80122-8019 — (949) 484-9517
  • 122 Delaware Street Stef-5, New Castle, DE 19720-4814 — (949) 484-9517
  • 3499 Blazer Pkwy Ste 325, Lexington, KY 40509-2798 — (949) 484-9517
  • 5 Greentree Center, Marlton, NJ 08053 — (949) 484-9517
  • 635 Main St Ste 206a, Klamath Falls, OR 97601-6007 — (949) 484-9517
  • 2025 Memory Ln Ste 300, Harker Heights, TX 76548-7488 — (949) 484-9517

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 350243 (NY)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence TPAN2536 (FL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 1169690 (TX)
Registered Nurse Taxonomy 163W00000X · Licence 689095 (NY)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence LG-0012858 (DE)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence APN.1000145-NP (CO)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 10042097 (OR)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 4036258 (KY)

Record details

NPI number1902537038
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNP-BC
Sole proprietorNo
NPI enumeratedJune 20, 2022
Last updated in NPPESMarch 26, 2025
Certification dateMarch 26, 2025
Mailing address15895 Hamp Rd, Watertown, NY 13601-6768

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Karen A. Williams Md Pc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Watertown