Individual provider Active NPI

Shekera Flavien

  • Registered Nurse
  • Bronx, NY
National Provider Identifier
1225279342
Registry record updated Mar 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
605467 Issued in NY
Practice address
4180 Hutchinson River Pkwy E
Bronx, NY 10475-4802
Phone
(718) 671-7887
NPI assigned
Mar 19, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 605467 NY Primary

Addresses

Primary practice location

4180 Hutchinson River Pkwy E
Bronx, NY 10475-4802

Mailing address

4180 Hutchinson River Pkwy E
Bronx, NY 10475-4802
Phone (718) 671-7887

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

LicenseStateTypeSpecialty
605467NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1237420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237420800000",
    "number": "1225279342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4180 HUTCHINSON RIVER PKWY E",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104754802",
            "telephone_number": "718-671-7887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4180 HUTCHINSON RIVER PKWY E",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104754802",
            "telephone_number": "718-671-7887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLAVIEN",
        "first_name": "SHEKERA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-19",
        "last_updated": "2009-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "605467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2009; 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.