Shalieshia Senea White, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

739520-1 Issued in NY

Practice address

24 Tyler St Unit 1
Rocky Point, NY 11778-9793

Phone

(631) 880-9547

NPI assigned

Oct 20, 2017

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

Other identifiers 1

Other names 1

• Shalieshia Senea White Professional name

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": "1508457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1841701513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 839",
            "city": "CORAM",
            "state": "NY",
            "postal_code": "117270839",
            "telephone_number": "631-880-9547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 TYLER ST UNIT 1",
            "city": "ROCKY POINT",
            "state": "NY",
            "postal_code": "117789793",
            "telephone_number": "631-880-9547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "SHALIESHIA",
        "middle_name": "SENEA",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-20",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "739520-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY OFFICE OF PROFESSIONS",
            "identifier": "9882501",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHALIESHIA",
            "last_name": "WHITE",
            "middle_name": "SENEA",
            "credential": "RN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Martine C Washingtonluykx
• Patrick Watters
• Michelle Weston-Bloom, MSED, BCBA
• Adam Wetcher, M.D.
• Jerome White
• Emily Wiegel, OTR/L
• Alexander Basil Edward Wilson, LMSW
• Sonmi P. Wong, O.D.
• Luis Fabian Yepes, L.AC
• Wyanna Yeung

• Registered Nurse in Rocky Point, NY
• Providers in Rocky Point, 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 Jun 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.