Individual provider Active NPI

Meghan C Shank, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1114559846
Registry record updated Nov 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F404458-01 Issued in NY
Practice address
18 E 48TH St RM 1202
New York, NY 10017-1038
Phone
(646) 846-0139
NPI assigned
Feb 11, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024181416 VA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R230592 MD
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F404458-01 NY Primary

Addresses

Primary practice location

18 E 48TH St RM 1202
New York, NY 10017-1038

Mailing address

1355 Beverly Road
Suite 225
McLean, VA 22101
Phone (703) 408-7327

Other practice location 1

1355 Beverly Road
Suite 225
McLean, VA 22101
Phone (703) 408-7327

Other names 1

  • Meghan C Skrynecki Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective May 26, 2023 through May 26, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R230592MDMDPsychiatric/Mental Health Nurse Practitioner
F404458-01NYMDPsychiatric/Mental Health Nurse Practitioner
0024181416VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1581379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668729600000",
    "number": "1114559846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 BEVERLY ROAD",
            "address_2": "SUITE 225",
            "city": "MCLEAN",
            "state": "VA",
            "postal_code": "22101",
            "telephone_number": "703-408-7327",
            "fax_number": "571-297-6277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 E 48TH ST RM 1202",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100171038",
            "telephone_number": "646-846-0139"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1355 Beverly Road",
            "address_2": "Suite 225",
            "address_purpose": "LOCATION",
            "city": "McLean",
            "state": "VA",
            "postal_code": "22101",
            "country_code": "US",
            "telephone_number": "703-408-7327",
            "fax_number": "571-297-6277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHANK",
        "first_name": "MEGHAN",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-11",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024181416",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R230592",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F404458-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGHAN",
            "last_name": "SKRYNECKI",
            "middle_name": "C",
            "credential": "PMHNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.