Shatika L. Shenghur, RN, NP

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

1041186 Issued in DC

Practice address

2389 Fountain Crest LN Apt 14
Westlake Village, CA 91362-5777

Phone

(805) 551-7787

NPI assigned

Feb 17, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

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

{
    "created_epoch": "1645056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689897600000",
    "number": "1548915580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2389 FOUNTAIN CREST LN APT 14",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913625777",
            "telephone_number": "805-551-7787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2389 FOUNTAIN CREST LN APT 14",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913625777",
            "telephone_number": "805-551-7787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHENGHUR",
        "first_name": "SHATIKA",
        "middle_name": "L.",
        "credential": "RN, NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-17",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "0000000",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DC",
            "license": "1041186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NOT AT THIS TIME",
            "identifier": "00000000000",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "comingsoon",
            "affiliation": "N",
            "address_1": "2389 Fountain Crest Ln Apt 14",
            "city": "Westlake Village",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913625777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Registered Nurse in Westlake Village, CA
• Providers in Westlake Village, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; 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.