Active NPI
Ta-Shuana West-Rehwaldt
- Licensed Practical Nurse
- Middletown, NY
National Provider Identifier
1417800715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 354308-01
- Practice address
- 579 E Main St Apt 22
Middletown, NY 10940-2759 - Phone
- (845) 381-0328
- NPI assigned
- Feb 17, 2026
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 354308-01 | NY | Primary |
Addresses
Primary practice location
579 E Main St Apt 22
Middletown, NY 10940-2759
Mailing address
579 E Main St Apt 22
Middletown, NY 10940-2759
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
| License | State | Type | Specialty |
|---|---|---|---|
| 354308-01 | NY | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771286400000",
"number": "1417800715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "579 E MAIN ST APT 22",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "109402759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "579 E MAIN ST APT 22",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "109402759",
"telephone_number": "845-381-0328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEST-REHWALDT",
"first_name": "TA-SHUANA",
"sole_proprietor": "YES",
"sex": "X",
"enumeration_date": "2026-02-17",
"last_updated": "2026-02-17",
"certification_date": "2026-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "354308-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Middletown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.