NPIMap

Organization Active NPI

Shirley D Vincent DNP Family Health NP

  • Community Health Clinic/Center
  • Staten Island, NY
National Provider Identifier
1356039424
Registry record updated Apr 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
SHIRLEY D VINCENT DNP FAMILY HEALTH NP
Practice address
1000 Targee St Apt 2K
Staten Island, NY 10304-4466
Phone
(917) 415-3215
NPI assigned
Apr 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2023

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

Authorized official

Name
Shirley Vincent, DNP, FNP-BCNPI 1336532126
Title
Family Nurse Practitioner
Phone
(917) 415-3215

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X
Community Health Clinic/Center 261QC1500X Primary
Health Service Clinic/Center 261QH0100X
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

1000 Targee St Apt 2K
Staten Island, NY 10304-4466

Mailing address

PO Box 40964
Staten Island, NY 10304-0964
Phone (917) 415-3215

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1682467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682467200000",
    "number": "1356039424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40964",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103040964",
            "telephone_number": "917-415-3215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 TARGEE ST APT 2K",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103044466",
            "telephone_number": "917-415-3215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIRLEY D VINCENT DNP FAMILY HEALTH NP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-26",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A",
        "authorized_official_last_name": "VINCENT",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "917-415-3215",
        "authorized_official_credential": "DNP, FNP-BC"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; 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.