Individual provider Active NPI

Shereda Lawrence

  • Family Nurse Practitioner
  • Jackson Heights, NY
National Provider Identifier
1508489022
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F345497 Issued in NY
Practice address
86-10 Roosevelt Ave
Jackson Heights, NY 11372
Phone
(917) 326-1701
NPI assigned
May 19, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11035225 FL
Family Nurse Practitioner 363LF0000X F345497 NY Primary

Addresses

Primary practice location

86-10 Roosevelt Ave
Jackson Heights, NY 11372

Mailing address

16011 Jamaica Ave
Jamaica, NY 11432-6111
Phone (917) 326-1701

Other practice location 1

5900 S John Young Pkwy
Orlando, FL 32839-3716
Phone (866) 550-2212

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL none

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220921002262 NY Practitioner - Nurse Practitioner 5799160172 Reassigns benefits to 8 organizations
I20250820005163 FL Practitioner - Nurse Practitioner 5799160172 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
The Clinicians, LLCGroup PAC ID 7214154509, 51 clinicians
Excel Urgent Care of East Northport PLLCGroup PAC ID 5294909826, 19 clinicians
Dispatchhealth-Florida Inc.Group PAC ID 2668899220, 36 clinicians

Practice addresses (Care Compare)

21301 Powerline Rd
Suite 106
Boca Raton, FL 33433-2389
Phone (866) 550-2212

558 Larkfield Rd
East Northport, NY 11731-4204
Phone (631) 486-7459

650 Northlake Blvd
Suite 400
Altamonte Springs, FL 32701-6126
Phone (407) 743-5360

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F345497NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Travel Doctor, PL CurrentSince Dec 1, 2025 Accepting new patients
Excel Urgent Care of East Northport, PLLC CurrentSince Jan 10, 2025 Accepting new patients
Infinite Medical PC CurrentSince May 29, 2023 Accepting new patients
Rite Medical Care PC CurrentSince Aug 18, 2022 Accepting new patients
Dispatchhealth-Florida Inc. CurrentSince Aug 6, 2025 Accepting new patients
Excel Urgent Care of Nesconset, PLLC CurrentSince Jan 10, 2025 Accepting new patients
Josef Schenker MD PC CurrentSince Apr 17, 2025 Accepting new patients
The Clinicians, LLC CurrentSince Dec 1, 2025 Accepting new patients
Amb Medical Services, P.C. CurrentSince Dec 1, 2023 Accepting new patients
Brookview Medical Associates, PLLC CurrentSince Sep 10, 2023 Accepting new patients
Excel Urgent Care of Wantagh PLLC CurrentSince Jan 10, 2025 Accepting new patients
Health-Based Primary Care Family PastSince Jun 2, 2024 Accepting new patients
Dispatchhealth-Florida Inc. PastSince Aug 1, 2021 Accepting new patients
Chenango Memorial Hospital, Inc. PastSince Jan 10, 2025 Accepting new patients

Locations

3825 N Lafayette St
Denver, CO 80205
Phone (303) 505-1518

21301 Powerline Rd
Ste 106
Boca Raton, FL 33433
Phone (866) 550-2212

1440 N Nova Rd
Ste 305
Daytona Beach, FL 32117
Phone (386) 258-8680

7925 NW 12th St
Ste 129
Doral, FL 33126
Phone (786) 644-6413

8270 College Pkwy
Ste 103
Fort Myers, FL 33919
Phone (239) 322-3434

3200 SW 34th Ave
Ste 702
Ocala, FL 34474

5900 S John Young Pkwy
Orlando, FL 32839
Phone (407) 398-6470

10970 Cross Creek Blvd
Tampa, FL 33647
Phone (813) 369-5969

5421 Beaumont Center Blvd
Ste 660
Tampa, FL 33634
Phone (813) 551-1015

10970 Cross Creek Blvd
Ste D
Tampa, FL 33647
Phone (813) 369-5969

80 Orville Dr
Ste 100
Bohemia, NY 11716
Phone (516) 308-6610

4426 18th Ave
Brooklyn, NY 11204
Phone (718) 635-9700

250 Skillman St
Ste 202
Brooklyn, NY 11205

558 Larkfield Rd
East Northport, NY 11731
Phone (631) 446-7459

11915 27th Ave
Flushing, NY 11354
Phone (631) 681-4754

17811 Union Tpke
Fresh Meadows, NY 11366
Phone (516) 729-7282

1 Kings Hwy
Hauppauge, NY 11788
Phone (631) 342-1546

6122 Fresh Pond Rd
Middle Vlg, NY 11379
Phone (718) 502-3000

465 Smithtown Blvd
Nesconset, NY 11767
Phone (631) 676-6700

484 Temple Hill Rd
Ste 104
New Windsor, NY 12553
Phone (732) 896-4444

484 Temple Hill Rd
Ste 103
New Windsor, NY 12553

6655 Fresh Pond Rd
Ridgewood, NY 11385
Phone (718) 497-1919

175 Route 59
Spring Valley, NY 10977
Phone (845) 352-6800

3430 Sunrise Hwy
Wantagh, NY 11793
Phone (516) 900-1600

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: slawrence1437458@nychhc.direct-ci.com
  • Direct secure messaging: shereda.lawrence.1@13869.direct.athenahealth.com

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1589846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1508489022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16011 JAMAICA AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114326111",
            "telephone_number": "917-326-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86-10 ROOSEVELT AVE",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "11372",
            "telephone_number": "917-326-1701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5900 S John Young Pkwy",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328393716",
            "country_code": "US",
            "telephone_number": "866-550-2212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "SHEREDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-19",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11035225",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F345497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "none",
            "affiliation": "N",
            "address_1": "122 08 153",
            "city": "Jamaica",
            "state": "NY",
            "country_code": "US",
            "postal_code": "11434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

Verify at the official NPI Registry.