Shanice Fletcher

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

965078 Issued in NY

Practice address

7925 Winchester Blvd
Queens Village, NY 11427-2128

Phone

(718) 264-4050

NPI assigned

Nov 12, 2025

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

State licenses

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

{
    "created_epoch": "1762905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1306706551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19615 118TH AVE",
            "city": "SAINT ALBANS",
            "state": "NY",
            "postal_code": "114123443",
            "telephone_number": "917-334-9575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7925 WINCHESTER BLVD",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114272128",
            "telephone_number": "718-264-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLETCHER",
        "first_name": "SHANICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-12",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "965078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• First Alert Dental Care, P.C.
• First Premier Care Medical, P.C.
• Mary C Fitzpatrick, RN
• FK Pharmacy Inc
• Jonathan Adam Flax, DMD
• Hugueline Fleurimond
• Sherby Fleurisma
• Pamela Flores, PTA
• Claudia Ximena Floresdevalgaz, LMHC
• Nidia Florestal, LPN

• Registered Nurse in Queens Village, NY
• Providers in Queens Village, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.