Individual provider Active NPI

Shameeka Baston, RN

  • Registered Nurse
  • Freeport, NY
National Provider Identifier
1114245214
Registry record updated Feb 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
22655089 Issued in NY
Practice address
314 N Long Beach Ave
Freeport, NY 11520-1505
Phone
(347) 335-3258
NPI assigned
May 13, 2010
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
22655089NYMDRegistered Nurse

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 22655089 NY Primary

Addresses

NPPES NPI Registry

Primary practice location

314 N Long Beach Ave
Freeport, NY 11520-1505

Mailing address

314 N Long Beach Ave
Freeport, NY 11520-1505
Phone (347) 335-4166

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 10, 2014.

{
    "created_epoch": "1273708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391990400000",
    "number": "1114245214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 N LONG BEACH AVE",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115201505",
            "telephone_number": "347-335-4166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 N LONG BEACH AVE",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115201505",
            "telephone_number": "347-335-3258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASTON",
        "first_name": "SHAMEEKA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-13",
        "last_updated": "2014-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "22655089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freeport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.