Shannon Gail Stark, MACCC/SLP, NP-C
Shannon Gail Stark, MACCC/SLP, NP-C is a Nurse Practitioner in Sidney, New York. Qualified in 2018, 8 years ago. Practices with Mary Imogene Bassett Hospital, a 779-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.
- Years since qualifying
- 8
- Licensed in
- NY
- In the registry since
- 2010
- Specialties on file
- 2
What do these letters mean?
- NP-C — Nurse Practitioner, Certified
- A nurse practitioner certified by the AANP.
Practice location Address checks out
39 Pearl St WSidney, NY 13838
Phone: (607) 561-2021
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 31 Park Ter W, New York, NY 10034-1514 — (212) 927-9706
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 343815 (NY) |
|---|---|
| Speech-Language Pathologist | Taxonomy 235Z00000X · Licence 0106541 (NY) |
Record details
| NPI number | 1003129438 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MACCC/SLP , NP-C |
| Sole proprietor | No |
| NPI enumerated | July 14, 2010 |
| Last updated in NPPES | February 4, 2019 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2018 (8 years in practice) |
| Group practice | Mary Imogene Bassett Hospital — 779 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Sidney
-
Linda E. Brennan, SPEECHPATHOLOGISTM
824 Circle Dr, Sidney, NY 13838-0330 · (607) 563-2706
-
Mr. Gene Wesley Homer, MED, CCC-SLP
15 Pearl St E, Sidney, NY 13838-1597 · (607) 563-2135
-
Kimberly Ann Kappauf, MACCC-SLP
15 Pearl St E, Sidney, NY 13838-1597 · (607) 561-7701