Active NPI
Mary Ann Theresa O'Shea, FNP
- Family Nurse Practitioner
- Scarsdale, NY
National Provider Identifier
1427341312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 336118
- Practice address
- 531 Central Park Ave
Suite 102
Scarsdale, NY 10583-1000 - Phone
- (914) 472-3333
- NPI assigned
- May 25, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 336118 | NY | Primary |
Addresses
Primary practice location
531 Central Park Ave
Suite 102
Scarsdale, NY 10583-1000
Mailing address
531 Central Park Ave
Suite 102
Scarsdale, NY 10583-1000
Phone (914) 472-3333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 336118 | Other | NY | LICENSE |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 336118 | NY | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306281600000",
"number": "1427341312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "531 CENTRAL PARK AVE",
"address_2": "SUITE 102",
"city": "SCARSDALE",
"state": "NY",
"postal_code": "105831000",
"telephone_number": "914-472-3333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "531 CENTRAL PARK AVE",
"address_2": "SUITE 102",
"city": "SCARSDALE",
"state": "NY",
"postal_code": "105831000",
"telephone_number": "914-472-3333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'SHEA",
"first_name": "MARY ANN",
"middle_name": "THERESA",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-25",
"last_updated": "2011-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "336118",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "336118",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Scarsdale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.