Individual provider Active NPI

Shareedah Zayeedah Al-Hark, LPN, DOULA

  • Doula
  • Buffalo, NY
National Provider Identifier
1265871081
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
Practice address
219 Hutchinson Ave
Buffalo, NY 14215-2242
Phone
(623) 308-6382
NPI assigned
Jun 14, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 305502 NY
Doula 374J00000X Primary

Addresses

Primary practice location

219 Hutchinson Ave
Buffalo, NY 14215-2242

Mailing address

219 Hutchinson Ave
Buffalo, NY 14215-2242
Phone (623) 308-6382

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
305502NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1371168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1265871081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 HUTCHINSON AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142152242",
            "telephone_number": "623-308-6382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 HUTCHINSON AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142152242",
            "telephone_number": "623-308-6382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-HARK",
        "first_name": "SHAREEDAH",
        "middle_name": "ZAYEEDAH",
        "name_prefix": "Ms.",
        "credential": "LPN, DOULA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-14",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "305502",
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.