Sherette Shanelle Wright

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

25606 Francis Lewis Blvd
Rosedale, NY 11422-3333

Phone

(347) 574-5092

NPI assigned

Sep 11, 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

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.

• Twins Too LLC.

  • Early Intervention Provider Agency
  • Rosedale, NY
  • NPI 1053175984
  NPD Authorized official

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

{
    "created_epoch": "1410393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410393600000",
    "number": "1306247069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25606 FRANCIS LEWIS BLVD",
            "city": "ROSEDALE",
            "state": "NY",
            "postal_code": "114223333",
            "telephone_number": "347-574-5092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25606 FRANCIS LEWIS BLVD",
            "city": "ROSEDALE",
            "state": "NY",
            "postal_code": "114223333",
            "telephone_number": "347-574-5092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "SHERETTE",
        "middle_name": "SHANELLE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-11",
        "last_updated": "2014-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sha-Wonda Robin Williams-Credle
• Gladstone Wilson, OTR/L
• Joel P Wolf, DDS
• Danette Danelle Wright
• Jameliah Wright
• Whitney Wright
• Daphney Yacinthe
• Igor Yakubov, PHARM. D.
• Banafsheh Yazehmidi, RPH
• Anderson Zamor, M.S.ED.

• Specialist in Rosedale, NY
• Providers in Rosedale, NY by specialty
• Specialist in New York

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