Shanique Yevette Speight, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

278462 Issued in NY

Practice address

767 Cape Rd
Ellenville, NY 12428-5710

Phone

(718) 206-1990

NPI assigned

Dec 18, 2018

Sex

Female

Sole proprietor

No

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Coordinated Behavioral Care Ipa Inc

  • Multi-Specialty Clinic/Center
  • Bronx, NY
  • NPI 1457881443
  NPD (past)
• Samaritan Daytop Village

  • Substance Abuse Rehabilitation Facility
  • Ellenville, NY
  • NPI 1245777390
  NPD (past)

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

{
    "created_epoch": "1545091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545091200000",
    "number": "1275005027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 BRIGGS HWY",
            "city": "ELLENVILLE",
            "state": "NY",
            "postal_code": "124285501",
            "telephone_number": "718-206-1990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "767 CAPE RD",
            "city": "ELLENVILLE",
            "state": "NY",
            "postal_code": "124285710",
            "telephone_number": "718-206-1990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "751 Briggs Hwy",
            "address_purpose": "LOCATION",
            "city": "Ellenville",
            "state": "NY",
            "postal_code": "124285501",
            "country_code": "US",
            "telephone_number": "845-647-8006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPEIGHT",
        "first_name": "SHANIQUE",
        "middle_name": "YEVETTE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-18",
        "last_updated": "2018-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "278462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Beth Shepherd-Meltzer
• Natasha Shorter-Copeland, LPN
• Lauren Showens, LPN
• Rosemary Sloan, MS CCC-SLP
• Paul Sommer
• Walter Leonard Sperling, M.D.
• Jim Michael Spoor, EMT
• Rafaela St. Hill, RDH.
• Michael Edward Stearns, RPH., CASAC
• Fernando Terry I

• Licensed Practical Nurse in Ellenville, NY
• Providers in Ellenville, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2018; 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.