Individual provider Active NPI

Shauna Robert

  • Community Health Registered Nurse
  • Brooklyn, NY
National Provider Identifier
1396273835
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
License
749753 Issued in NY
Practice address
2425 Nostrand Ave Apt 104
Brooklyn, NY 11210
Phone
(646) 684-8842
NPI assigned
May 29, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X 749753 NY Primary
Licensed Practical Nurse 164W00000X 325533 NY

Addresses

Primary practice location

2425 Nostrand Ave Apt 104
Brooklyn, NY 11210

Mailing address

2425 Nostrand Ave Apt 104
Brooklyn, NY 11210-4021
Phone (646) 684-8422

Other practice location 1

1107 E 73rd St Apt 1
Brooklyn, NY 11234-5400
Phone (646) 684-8842

Other practice location 2

1107 E 73rd St Apt 1
Brooklyn, NY 11234-5400
Phone (646) 684-8842

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

State licenses

LicenseStateTypeSpecialty
749753NYMDCommunity Health Registered Nurse
325533NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1496016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1396273835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 NOSTRAND AVE APT 104",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112104021",
            "telephone_number": "646-684-8422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 NOSTRAND AVE APT 104",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11210",
            "telephone_number": "646-684-8842"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1107 E 73rd St Apt 1",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112345400",
            "country_code": "US",
            "telephone_number": "646-684-8842",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1107 E 73rd St Apt 1",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112345400",
            "country_code": "US",
            "telephone_number": "646-684-8842",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERT",
        "first_name": "SHAUNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-29",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "NY",
            "license": "749753",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "325533",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.