Shamara Nicholas

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

668937 Issued in NY

Practice address

6242 Silver Birch Drive
Farmington, NY 14425-1056

Phone

(585) 690-4887

NPI assigned

Feb 5, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1391558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391558400000",
    "number": "1780008201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6242 SILVER BIRCH DRIVE",
            "city": "FARMINGTON",
            "state": "NY",
            "postal_code": "144251056",
            "telephone_number": "585-690-4887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6242 SILVER BIRCH DRIVE",
            "city": "FARMINGTON",
            "state": "NY",
            "postal_code": "144251056",
            "telephone_number": "585-690-4887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLAS",
        "first_name": "SHAMARA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-05",
        "last_updated": "2014-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "668937",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9373124",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Miller
• Millers Pharmacy of Farmington
• Eilene Dean Moore, R.N.
• Heather Patricia Munger, LPN
• Amanda Duyen Nguyen, NP-C
• Elizabeth Eloise Nowak, LPN
• James P O'Brien, PA
• John B. Oliphant, RPAC, ATC
• Marcy P Osburn, PT
• Evely Joanny Pacheco Matias, DC

• Registered Nurse in Farmington, NY
• Providers in Farmington, 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 Feb 5, 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.