Beverly Shaheen, MSNP

Primary specialty

Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X

License

F420136-1 Issued in NY

Practice address

3101 Ridge Rd W
Building D
Rochester, NY 14626-3249

Phone

(585) 225-1580

Fax

(585) 225-3137

NPI assigned

Oct 23, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329436800000",
    "number": "1497838502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 RIDGE RD W",
            "address_2": "BUILDING D",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146263249",
            "telephone_number": "585-225-1580",
            "fax_number": "585-225-3137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 RIDGE RD W",
            "address_2": "BUILDING D",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146263249",
            "telephone_number": "585-225-1580",
            "fax_number": "585-225-3137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHEEN",
        "first_name": "BEVERLY",
        "credential": "MSNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2012-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "NY",
            "license": "F420136-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCELLUS MANAGED CARE",
            "identifier": "P019360036",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Twisha Shah
• Ummara H Shah, MD
• Virginia Shah, LPN
• Vrushank Shah, DO
• Mohammad Rasool Shaheed, MD
• Fatima Shahid
• Malikah Shahid
• Mohammad Saboor Shahid
• Mohammed Mehdi Shahid, MD
• Alexa Shahine, MD

• Obstetrics & Gynecology Nurse Practitioner in Rochester, NY
• Providers in Rochester, NY by specialty
• Obstetrics & Gynecology Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2012; 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.