Individual provider Active NPI

Shamirah White, LPN

  • Licensed Vocational Nurse
  • Independence, OH
National Provider Identifier
1649971219
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
26NP07473900 Issued in NJ
Practice address
6111 Oak Tree Blvd Ste 301
Independence, OH 44131-2585
Phone
(216) 393-8595
Fax
(866) 280-6661
NPI assigned
Mar 13, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 26NP07473900 NJ Primary

Addresses

Primary practice location

6111 Oak Tree Blvd Ste 301
Independence, OH 44131-2585

Mailing address

405 E 38TH St
Paterson, NJ 07504-1413
Phone (201) 800-5181

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
26NP07473900NJMDLicensed Vocational Nurse

Interoperability endpoints

  • Direct secure messaging: shamirah.white.1@21667.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1678665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1649971219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 E 38TH ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075041413",
            "telephone_number": "201-800-5181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6111 OAK TREE BLVD STE 301",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441312585",
            "telephone_number": "216-393-8595",
            "fax_number": "866-280-6661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "SHAMIRAH",
        "name_prefix": "Miss",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-13",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "NJ",
            "license": "26NP07473900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.