Brenda J Sheehan, ANP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

30305225 Issued in NY

Practice address

101 Nicholls Rd
Sbuh, Palliative Care Service- HSC Level T-15, RM.053
Stony Brook, NY 11794-0001

Phone

(631) 444-2292

Fax

(631) 444-3811

NPI assigned

Jun 8, 2014

Sex

Female

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

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

{
    "created_epoch": "1402185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402185600000",
    "number": "1275946147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 NICHOLLS RD",
            "address_2": "SBUH, PALLIATIVE CARE SERVICE- HSC LEVEL T-15, RM.053",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117940001",
            "telephone_number": "631-444-2292",
            "fax_number": "631-444-3811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 NICHOLLS RD",
            "address_2": "SBUH, PALLIATIVE CARE SERVICE- HSC LEVEL T-15, RM.053",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117940001",
            "telephone_number": "631-444-2292",
            "fax_number": "631-444-3811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEEHAN",
        "first_name": "BRENDA",
        "middle_name": "J",
        "credential": "ANP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-08",
        "last_updated": "2014-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "30305225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jyoti Sharma, M.D.
• Vaibhav Sharma, MD
• Saika Sharmeen, D.O.
• Stephanie Shay, ATC
• Danielle Lyn Sheahan, CRNP
• Dale Olivia Sheets
• Abigail Bryna Shegelman
• Ilana Shemaev
• Beiyi Shen
• Yi Ming Shen, DMD

• Adult Health Nurse Practitioner in Stony Brook, NY
• Providers in Stony Brook, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2014; 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.