Individual provider Active NPI

Donna Shea, LPN

  • Licensed Practical Nurse
  • Trenton, NJ
National Provider Identifier
1548027410
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
23-47418-062 Issued in KS
Practice address
39 N Clinton Ave
Trenton, NJ 08609-1011
Phone
(609) 396-4557
NPI assigned
Mar 6, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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 23-47418-062 KS Primary

Addresses

Primary practice location

39 N Clinton Ave
Trenton, NJ 08609-1011

Mailing address

10 Southard St
Trenton, NJ 08609-1020
Phone (609) 396-4557

Other practice location 1

10 Southard St
Trenton, NJ 08609-1020
Phone (609) 396-4557 ext. 2461

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
23-47418-062KSMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1709683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1548027410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 SOUTHARD ST",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086091020",
            "telephone_number": "609-396-4557",
            "fax_number": "609-460-0217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 N CLINTON AVE",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086091011",
            "telephone_number": "609-396-4557"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Southard St",
            "address_purpose": "LOCATION",
            "city": "Trenton",
            "state": "NJ",
            "postal_code": "086091020",
            "country_code": "US",
            "telephone_number": "609-396-4557 x2461",
            "fax_number": "609-460-0217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEA",
        "first_name": "DONNA",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-06",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "KS",
            "license": "23-47418-062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; 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.