Burkho Bella Shimunova, REGISTERED NURSE

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

520330-1 Issued in NY

Practice address

3129 60TH St
Woodside, NY 11377-1220

Phone

(718) 487-9857

NPI assigned

Feb 28, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Burkho Bella Shimunova Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1393545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394064000000",
    "number": "1063837920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3129 60TH ST",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113771220",
            "telephone_number": "718-487-9857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3129 60TH ST",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113771220",
            "telephone_number": "718-487-9857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIMUNOVA",
        "first_name": "BURKHO",
        "middle_name": "BELLA",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-28",
        "last_updated": "2014-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "520330-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BURKHO",
            "last_name": "SHIMUNOVA",
            "middle_name": "BELLA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Danial Shaukat, FNP
• Melissa Shelton
• Iren Shemelyak, LC. AC.
• Allyson Sherman, MA
• Phurba Sherpa
• Marina U. Shimuny, DDS
• Wonbin Shin, PHARMD
• Diana Shum
• Melissa Sierra-Perez, RN
• Lewis Silverman, MD

• School Registered Nurse in Woodside, NY
• Providers in Woodside, NY by specialty
• School Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2014; 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.