Shawn Jamel Wright, FNP- BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

350934 Issued in NY

Practice address

11342 199TH St
Saint Albans, NY 11412-2507

Phone

(305) 332-8947

NPI assigned

Dec 15, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1671062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1487366993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1072 E 81ST ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112364222",
            "telephone_number": "718-473-7169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11342 199TH ST",
            "city": "SAINT ALBANS",
            "state": "NY",
            "postal_code": "114122507",
            "telephone_number": "305-332-8947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "SHAWN",
        "middle_name": "JAMEL",
        "name_prefix": "Mr.",
        "credential": "FNP- BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-12-15",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "350934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Shareece Williams
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• Pamela Ceclia Worrell-Springer, RN
• Fay L. Young
• Jennae Young, MS.ED
• Julie Young
• Karl Young
• Youth Saving Society Foundation Inc

• Family Nurse Practitioner in Saint Albans, NY
• Providers in Saint Albans, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.