Shannyn Tierra Suarez, R.N.

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

661439-1 Issued in NY

Practice address

998 Crooked Hill Rd BLDG 82
Brentwood, NY 11717

Phone

(516) 403-7673

Fax

(631) 761-3769

NPI assigned

Jan 14, 2013

Sex

Female

Sole proprietor

Yes

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1358121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526428800000",
    "number": "1669719332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "998 CROOKED HILL RD BLDG 82",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117171019",
            "telephone_number": "516-403-7673",
            "fax_number": "631-761-3769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "998 CROOKED HILL RD BLDG 82",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "11717",
            "telephone_number": "516-403-7673",
            "fax_number": "631-761-3769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUAREZ",
        "first_name": "SHANNYN",
        "middle_name": "TIERRA",
        "name_prefix": "Mrs.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-14",
        "last_updated": "2018-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "661439-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Station Care NP in Adult Health PC
• Marjorie Elaine Stephens-Ashton, MD
• Joshua R Stockhausen, PA-C
• Strong Island Acupuncture and Chiropractic Associates PLLC
• Fatima Suarez, RN
• Suffolk County Dept of Health Services
• Suffolk First Medical, P.C.
• Suffolk Icm Program
• Suffolk Oral Surgery Associates LLP
• Chang Sam Suh, MD

• Registered Nurse in Brentwood, NY
• Providers in Brentwood, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2018; 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.