Individual provider Active NPI

Shannon Vysha Rembert, LPN

  • Licensed Practical Nurse
  • Wheatley Heights, NY
National Provider Identifier
1457511636
Registry record updated Jun 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
2745641 Issued in NY
Practice address
24 Hilltop LN
Wheatley Heights, NY 11798-1304
Phone
(631) 478-2949
NPI assigned
Jun 11, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 2745641 NY Primary

Addresses

Primary practice location

24 Hilltop LN
Wheatley Heights, NY 11798-1304

Mailing address

24 Hilltop LN
Wheatley Heights, NY 11798-1304
Phone (631) 478-2949

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
2745641NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213142400000",
    "number": "1457511636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 HILLTOP LN",
            "city": "WHEATLEY HEIGHTS",
            "state": "NY",
            "postal_code": "117981304",
            "telephone_number": "631-478-2949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 HILLTOP LN",
            "city": "WHEATLEY HEIGHTS",
            "state": "NY",
            "postal_code": "117981304",
            "telephone_number": "631-478-2949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REMBERT",
        "first_name": "SHANNON",
        "middle_name": "VYSHA",
        "name_prefix": "Miss",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-11",
        "last_updated": "2008-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "2745641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheatley Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; 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.