Individual provider Active NPI

Vanessa Deshommes

  • Registered Nurse
  • Wheatley Heights, NY
National Provider Identifier
1558719872
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
22714980 Issued in NY
Practice address
112 N 18TH St
Wheatley Heights, NY 11798-1803
Phone
(631) 482-6281
NPI assigned
May 26, 2016
Last updated
Feb 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 354614 NY
Registered Nurse 163W00000X 22714980 NY Primary

Addresses

Primary practice location

112 N 18TH St
Wheatley Heights, NY 11798-1803

Mailing address

112 N 18TH St
Wheatley Heights, NY 11798-1803
Phone (631) 482-6281

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250320002787 NY Practitioner - Nurse Practitioner 8022530856 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22714980NYMDRegistered Nurse
354614NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New Health Medical New York PC CurrentSince Jan 12, 2025 Accepting new patients
Brookview Medical Associates, PLLC Nurse Practitioner CurrentSince Mar 14, 2025 Accepting new patients
Vanessa Deshommes Past Accepting new patients

Locations

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

401 Willoughby Ave
Brooklyn, NY 11205

407 Willoughby Ave
Brooklyn, NY 11205

4426 18th Ave
#13202
Brooklyn, NY 11204
Phone (917) 863-8499

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

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

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1464220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1558719872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 N 18TH ST",
            "city": "WHEATLEY HEIGHTS",
            "state": "NY",
            "postal_code": "117981803",
            "telephone_number": "631-482-6281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 N 18TH ST",
            "city": "WHEATLEY HEIGHTS",
            "state": "NY",
            "postal_code": "117981803",
            "telephone_number": "631-482-6281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESHOMMES",
        "first_name": "VANESSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-26",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "354614",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "22714980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheatley Heights, NY

Sources for this page

Verify at the official NPI Registry.