Individual provider Active NPI

Shealtieal V Griffith-Harewood, NP

  • Family Nurse Practitioner
  • Springfield Gardens, NY
National Provider Identifier
1326552258
Registry record updated Nov 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
333167 Issued in NY
Practice address
14524 230TH St
Springfield Gardens, NY 11413-3927
Phone
(718) 712-6886
Fax
(718) 712-2346
NPI assigned
Nov 30, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 333167 NY Primary

Addresses

Primary practice location

14524 230TH St
Springfield Gardens, NY 11413-3927

Mailing address

14524 230TH St
Springfield Gardens, NY 11413-3927
Phone (718) 712-6886

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
333167NYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eliezer Greenberg DPM PC Past Accepting new patients
New Start Family Medical PC PastSince Nov 20, 2011 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1512000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512000000000",
    "number": "1326552258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14524 230TH ST",
            "city": "SPRINGFIELD GARDENS",
            "state": "NY",
            "postal_code": "114133927",
            "telephone_number": "718-712-6886",
            "fax_number": "718-712-2346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14524 230TH ST",
            "city": "SPRINGFIELD GARDENS",
            "state": "NY",
            "postal_code": "114133927",
            "telephone_number": "718-712-6886",
            "fax_number": "718-712-2346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFITH-HAREWOOD",
        "first_name": "SHEALTIEAL",
        "middle_name": "V",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-30",
        "last_updated": "2017-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "333167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield Gardens, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2017; 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.