Medesa Shavell Garrett, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

2849000 Issued in NY

Practice address

11440 Van Wyck Expy
South Ozone Park, NY 11420-2229

Phone

(718) 322-3455

Fax

(718) 848-4152

NPI assigned

Dec 2, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Argus Community, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bronx, NY
  • NPI 1699408773
  NPD (past)
• Faith Mission Alcohol Crisis Center

  • Substance Abuse Rehabilitation Facility
  • South Ozone Park, NY
  • NPI 1740617315
  NPD (past)

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

{
    "created_epoch": "1512172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512172800000",
    "number": "1912412776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11440 VAN WYCK EXPY",
            "city": "SOUTH OZONE PARK",
            "state": "NY",
            "postal_code": "114202229",
            "telephone_number": "718-322-3455",
            "fax_number": "718-848-4152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11440 VAN WYCK EXPY",
            "city": "SOUTH OZONE PARK",
            "state": "NY",
            "postal_code": "114202229",
            "telephone_number": "718-322-3455",
            "fax_number": "718-848-4152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRETT",
        "first_name": "MEDESA",
        "middle_name": "SHAVELL",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-02",
        "last_updated": "2017-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "2849000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Asha H Gajai, M.S.
• Kathleen Bernadette Galeno, OTR/L, CHT
• Salvador Ebreo Gales, DMD
• Alice Garcia, NP PROVIDER
• Kimberly Natasha Garrett, LMSW
• Emile Duane Gaskin, RN
• Michelle George
• Ghansham Singh,Physician,PC
• Narisa Girdhari, LMSW
• Gity Pro Group

• Licensed Practical Nurse in South Ozone Park, NY
• Providers in South Ozone Park, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2017; 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.