Shirley Desty, RN

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

RN9532982 Issued in FL

Practice address

658 SW Caburn Ave
Port St Lucie, FL 34953-7667

Phone

(561) 983-1263

NPI assigned

Nov 15, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Desty Nation, LLC

  • Home Health Agency
  • Port St Lucie, FL
  • NPI 1568287563
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1731628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1033934039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "658 SW CABURN AVE",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349537667",
            "telephone_number": "561-983-1263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "658 SW CABURN AVE",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349537667",
            "telephone_number": "561-983-1263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESTY",
        "first_name": "SHIRLEY",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-15",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "FL",
            "license": "RN9532982",
            "primary": false
        },
        {
            "code": "163WS0121X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Plastic Surgery",
            "state": "FL",
            "license": "RN9532982",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "FL",
            "license": "RN9532982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karitza Brandy Desrivieres
• Mensley Desrosiers
• Darlene Dessources
• Mathews Destin
• Desty Nation, LLC
• Melissa Deulofeu Pulido
• Lourdia Devalon
• Development Learning Center of St Lucie County Florida Inc
• Merancia Dezina, DENTAL ASSISTANT
• Diabetes Thyroid & Hormone Center of the Treasure Coast, PLLC

• Psychiatric/Mental Health Registered Nurse in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Psychiatric/Mental Health Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.