Active NPI
Sharalee Simpson
- Licensed Practical Nurse
- Saint Albans, NY
National Provider Identifier
1144851007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 335686
- Practice address
- 19426 114TH Rd
Saint Albans, NY 11412-2726 - Phone
- (347) 251-3232
- NPI assigned
- Jan 30, 2020
- Reactivated
- Jan 23, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 335686 | NY | Primary |
Addresses
Primary practice location
19426 114TH Rd
Saint Albans, NY 11412-2726
Mailing address
PO Box 110413
Cambria Heights, NY 11411-0413
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 335686 | NY | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705968000000",
"number": "1144851007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 110413",
"city": "CAMBRIA HEIGHTS",
"state": "NY",
"postal_code": "114110413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19426 114TH RD",
"city": "SAINT ALBANS",
"state": "NY",
"postal_code": "114122726",
"telephone_number": "347-251-3232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMPSON",
"first_name": "SHARALEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-30",
"last_updated": "2024-01-23",
"certification_date": "2021-03-23",
"deactivation_date": "2021-03-23",
"reactivation_date": "2024-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "335686",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Albans, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.