Individual provider Active NPI

Shaunta Sherelle Rattigan

  • Registered Nurse
  • Jamaica, NY
National Provider Identifier
1881963023
Registry record updated Apr 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
593881-1 Issued in NY
Practice address
16937 144TH Rd
Jamaica, NY 11434-5929
Phone
(718) 978-7221
Fax
(718) 978-0032
NPI assigned
Dec 16, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2012

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 593881-1 NY Primary

Addresses

Primary practice location

16937 144TH Rd
Jamaica, NY 11434-5929

Mailing address

14350 Hoover Ave
Jamaica, NY 11435-2121
Phone (347) 807-6280

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
593881-1NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1323993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335744000000",
    "number": "1881963023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14350 HOOVER AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114352121",
            "telephone_number": "347-807-6280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16937 144TH RD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114345929",
            "telephone_number": "718-978-7221",
            "fax_number": "718-978-0032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATTIGAN",
        "first_name": "SHAUNTA",
        "middle_name": "SHERELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-16",
        "last_updated": "2012-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "593881-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2012; 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.