Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1275728065 Individual Practitioner Female Practitioner

Sonya Lynn Shoemaker , LPN

Licensed Practical Nurse • Walworth, NY

Professional Overview & Biography Verified Profile Summary

Sonya Shoemaker, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Walworth, NY. Practice services are available at 4584 ONTARIO CENTER RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4584 Ontario Center Rd

Walworth, NY 145689726

Telephone 5854723670

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Walworth, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.0 Yrs
Regional Practice Density
16 Specialists

Practicing in Walworth, NY (23738 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License NY 278619

An individual 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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
02900470 (NY)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 13, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location September 13, 2007

Registered at 4584 ONTARIO CENTER RD, WALWORTH, NY 145689726 (Tel: 5854723670)

📍
Updated Business Mailing Address September 13, 2007

Registered at 4584 ONTARIO CENTER RD, WALWORTH, NY 145689726 (Tel: 5854723670)

👤
Provider Name / Credentials Updated September 13, 2007

Recorded as SONYA SHOEMAKER, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 13, 2007

Licensed Practical Nurse (License #278619 in NY)

🟢
Initial NPI Registration & Enumeration September 13, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1275728065
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 13, 2007
Last Update: September 13, 2007
Sole Proprietor: Yes

Mailing Address

4584 Ontario Center Rd

Walworth, NY 145689726

Phone: 5854723670

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.