Individual provider Active NPI

Sharrell Aaisha Carr, LPN

  • Licensed Practical Nurse
  • Holtsville, NY
National Provider Identifier
1780059279
Registry record updated Dec 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
314827 Issued in NY
Practice address
94 Plad Blvd
Holtsville, NY 11742-2600
Phone
(631) 889-0684
Fax
(631) 730-8199
NPI assigned
Dec 9, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 314827 NY Primary

Addresses

Primary practice location

94 Plad Blvd
Holtsville, NY 11742-2600

Mailing address

94 Plad Blvd
Holtsville, NY 11742-2600
Phone (631) 889-0684

Other names 1

  • Ms. Sharrell Aaisha Carr Professional 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

NPI Registry JSON

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

{
    "created_epoch": "1449619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449619200000",
    "number": "1780059279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 PLAD BLVD",
            "city": "HOLTSVILLE",
            "state": "NY",
            "postal_code": "117422600",
            "telephone_number": "631-889-0684",
            "fax_number": "631-730-8199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 PLAD BLVD",
            "city": "HOLTSVILLE",
            "state": "NY",
            "postal_code": "117422600",
            "telephone_number": "631-889-0684",
            "fax_number": "631-730-8199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "SHARRELL",
        "middle_name": "AAISHA",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-09",
        "last_updated": "2015-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "314827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHARRELL",
            "last_name": "CARR",
            "middle_name": "AAISHA",
            "prefix": "MS.",
            "credential": "LPN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Holtsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.