Shenise James- Dubose, RN, DN

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

R232062 Issued in MD

Practice address

3310 Eastern Ave
Baltimore, MD 21224-4108

Phone

(443) 708-5056

Fax

(667) 400-6118

NPI assigned

Jun 10, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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": "1717977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1942042122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5714 ALLENDER RD",
            "city": "WHITE MARSH",
            "state": "MD",
            "postal_code": "211621307",
            "telephone_number": "443-813-1208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3310 EASTERN AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212244108",
            "telephone_number": "443-708-5056",
            "fax_number": "667-400-6118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBOSE",
        "first_name": "SHENISE",
        "middle_name": "JAMES-",
        "name_prefix": "Mrs.",
        "credential": "RN, DN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-10",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "R232062",
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "MD",
            "license": "R232062",
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "MD",
            "license": "R232062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hinda Fink Dubin, MD
• Marc G Dubin, M.D.
• Ross Dubin, D.C.
• Benjamin V Dubois, MD
• Brianna Nicole Dubose, MD
• Desiree Dubovick, LCSW-C
• Howard O Dubowitz, M.D.
• Moniece Sharica Dubrey
• Susan Kay Dubroff, P.T.
• Kirstie Ducharme-Smith

• General Practice Registered Nurse in Baltimore, MD
• Providers in Baltimore, MD by specialty
• General Practice Registered Nurse in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; 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.