Individual provider Active NPI

Shirley Brown-Fernandez, SPECIAL ED. TEACHER

  • Specialist
  • Jamaica, NY
National Provider Identifier
1437496452
Registry record updated Jan 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
2361119 Issued in NY
Practice address
17985 Selover Rd
Jamaica, NY 11434-3411
Phone
(718) 723-3747
NPI assigned
Jan 10, 2013
Last updated
Jan 10, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 2361119 NY Primary

Addresses

Primary practice location

17985 Selover Rd
Jamaica, NY 11434-3411

Mailing address

17985 Selover Rd
Jamaica, NY 11434-3411
Phone (718) 723-3747

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
2361119NYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1357776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357776000000",
    "number": "1437496452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17985 SELOVER RD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114343411",
            "telephone_number": "718-723-3747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17985 SELOVER RD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114343411",
            "telephone_number": "718-723-3747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN-FERNANDEZ",
        "first_name": "SHIRLEY",
        "credential": "SPECIAL ED. TEACHER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-10",
        "last_updated": "2013-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "2361119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2013; 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.