Active NPI
Yaorui Shen
- Home Health Registered Nurse
- Flushing, NY
National Provider Identifier
1275191322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- 764170-1
- Practice address
- 14607 Holly Ave FL 2
Flushing, NY 11355-2246 - Phone
- (917) 900-9660
- NPI assigned
- Jun 4, 2019
- Last updated
- Jun 4, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 764170-1 | NY | Primary |
Addresses
Primary practice location
14607 Holly Ave FL 2
Flushing, NY 11355-2246
Mailing address
14607 Holly Ave FL 2
Flushing, NY 11355-2246
Phone (917) 900-9660
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 |
|---|---|---|---|
| 764170-1 | NY | MD | Home Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559606400000",
"number": "1275191322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14607 HOLLY AVE FL 2",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113552246",
"telephone_number": "917-900-9660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14607 HOLLY AVE FL 2",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113552246",
"telephone_number": "917-900-9660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEN",
"first_name": "YAORUI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-04",
"last_updated": "2019-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "NY",
"license": "764170-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.