Shardae White

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

786344 Issued in NY

Practice address

1303 Remsen Ave
Brooklyn, NY 11236-4219

Phone

(917) 526-1665

NPI assigned

Sep 29, 2020

Reactivated

May 26, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Global Wound Care Medical GroupGroup PAC ID 9335504539, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Global Wound Care Medical Group

  • General Practice Physician
  • Los Angeles, CA
  • NPI 1235831132

  NY

  Medicare reassignment Care Compare group NPD
• Ocean NP in Family Health PLLC

  • Family Nurse Practitioner
  • New City, NY
  • NPI 1841919800
  Medicare reassignment NPD

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

{
    "created_epoch": "1601337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1124635644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 REMSEN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112364219",
            "telephone_number": "917-526-1665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 REMSEN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112364219",
            "telephone_number": "917-526-1665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "SHARDAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-29",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "deactivation_date": "2023-03-16",
        "reactivation_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "786344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rochelle Beth White, OTR/L
• Samantha White
• Saqueen White, LPN
• Seth Collin White
• Shaquasia C White
• Shawnette Angelee White, P.A.
• Sherline D White, MS, CN
• Tameka E White, DNP,PMHNP,ACNP,AACRN
• Tamika Ann White
• Taylor Jacqueline White, OD

• Registered Nurse in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.