Shaquetta Carr

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

26NP07307000 Issued in NJ

Practice address

118 N Maple Ave
East Orange, NJ 07017-4341

Phone

(973) 676-1000

Fax

(973) 395-7154

NPI assigned

Nov 27, 2015

Last updated

Nov 27, 2015By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1448582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448582400000",
    "number": "1649644865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 N MAPLE AVE",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070174341",
            "telephone_number": "973-676-1000",
            "fax_number": "973-395-7154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 N MAPLE AVE",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070174341",
            "telephone_number": "973-676-1000",
            "fax_number": "973-395-7154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "SHAQUETTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-27",
        "last_updated": "2015-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NJ",
            "license": "26NP07307000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caren Nichole Carey, LPN
• Kathleen M. Carletta, A.P.R.N., B.C.
• Gwendolyn Carmel, RVT
• Estefania Ailin Carmelino
• Mary Carney, APN, C
• Alexandra Carrer, MD
• Barbara Carter
• Heather T. Cassells-Simpson
• Joselina Castillo
• Kathleen Laura Castles-Fonseca, PSY.D.

• Licensed Practical Nurse in East Orange, NJ
• Providers in East Orange, NJ by specialty
• Licensed Practical Nurse in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2015; 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.