Shira Etshalom, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F340580 Issued in NY

Practice address

178 Church St
Poughkeepsie, NY 12601-4165

Phone

(845) 471-1530

NPI assigned

Feb 11, 2016

Last updated

May 9, 2016By the provider in NPPES

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

• Yonah Etshalom Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: shira.etshalom@217526021193732.direct.elationemr.com

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

{
    "created_epoch": "1455148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462752000000",
    "number": "1134588759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 CHURCH ST",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126014165",
            "telephone_number": "845-471-1530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 CHURCH ST",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126014165",
            "telephone_number": "845-471-1530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETSHALOM",
        "first_name": "SHIRA",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-11",
        "last_updated": "2016-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F340580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YONAH",
            "last_name": "ETSHALOM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sandra Essington, LCSW-R
• Ama Akoma Essuman, MBCHB, MPH, MBA, PMP
• Daniela Estrada Gomez
• Janine E Estupinan, LCSW-R
• Marise Etienne, LPN
• Britney Ann Ettinger
• Leigh Mark Ettinger, MD, MS
• Bartley J Ettori, LCSW
• Ann Lorraine Evans, RN
• Jade Evans, LPN

• Family Nurse Practitioner in Poughkeepsie, NY
• Providers in Poughkeepsie, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2016; 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.