Individual provider Active NPI

Shirniece Abigail Farrell, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1447948666
Registry record updated Aug 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F350707-01 Issued in NY
Practice address
1723 Union St
Brooklyn, NY 11213-4994
Phone
(347) 356-9417
NPI assigned
Apr 26, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F350707-01 NY Primary

Addresses

Primary practice location

1723 Union St
Brooklyn, NY 11213-4994

Mailing address

1723 Union St Apt 1B
Brooklyn, NY 11213-6008
Phone (347) 356-9417

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240201002248 NY Practitioner - Nurse Practitioner 2062865439 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Houston Medical Consulting PCGroup PAC ID 1951551589, 8 clinicians

Practice addresses (Care Compare)

214 W Houston St
New York, NY 10014-4846
Phone (718) 845-2455

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F350707-01NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Houston Medical Consulting PC CurrentSince Aug 1, 2025 Accepting new patients

Locations

214 W Houston St
New York, NY 10014
Phone (212) 337-9400

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and 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-1",
    "last_updated_epoch": "1692316800000",
    "number": "1447948666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1723 UNION ST APT 1B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112136008",
            "telephone_number": "347-356-9417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1723 UNION ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112134994",
            "telephone_number": "347-356-9417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRELL",
        "first_name": "SHIRNIECE",
        "middle_name": "ABIGAIL",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-26",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F350707-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.