Shawn Brase

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

License

1251420504 Issued in NY

Practice address

6 Game LN
East Setauket, NY 11733-3412

Phone

(516) 780-2306

NPI assigned

Mar 11, 2025

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Fit for Life

  • Home Health Agency
  • East Setauket, NY
  • NPI 1780479824
  NPD Authorized official

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

{
    "created_epoch": "1741651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1245039361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 GAME LN",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117333412",
            "telephone_number": "516-780-2306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 GAME LN",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117333412",
            "telephone_number": "516-780-2306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRASE",
        "first_name": "SHAWN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-03-11",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "NY",
            "license": "1251420504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nariman Boyle, M.D.
• Ryan Bozzello, M.A. CCC-SLP
• Pilar Souviron Bracero
• Douglas L Brand, M.D.
• Lauren Brand, R.D.
• Jennifer Lynn Braun, PT
• Sheila Breck, LCSW
• John J Brennan, MD
• Paul D Brodsky, O.D.
• Richard Bronson, M.D.

• Health & Wellness Coach in East Setauket, NY
• Providers in East Setauket, NY by specialty
• Health & Wellness Coach in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; 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.