Individual provider Active NPI

Shokhsanam Usmanova

  • Registered Nurse
  • Brooklyn, NY
National Provider Identifier
1659774677
Registry record updated Oct 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
689423 Issued in NY
Practice address
2920 Cortelyou Rd
Brooklyn, NY 11226-6313
Phone
(718) 287-4300
NPI assigned
Oct 4, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 689423 NY Primary

Addresses

Primary practice location

2920 Cortelyou Rd
Brooklyn, NY 11226-6313

Mailing address

205 Sea Breeze Ave Apt 4E
Brooklyn, NY 11224-3725

Other names 1

  • Shahina Usmanova Other name

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
689423NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1412380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412380800000",
    "number": "1659774677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 SEA BREEZE AVE APT 4E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112243725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 CORTELYOU RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112266313",
            "telephone_number": "718-287-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "USMANOVA",
        "first_name": "SHOKHSANAM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-04",
        "last_updated": "2014-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "689423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAHINA",
            "last_name": "USMANOVA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2014; 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.