Shannon Butler-Stewart

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

10 327639 Issued in NY

Practice address

15601 N Conduit Ave
Apt B23
Jamaica, NY 11434-4300

Phone

(516) 288-6099

NPI assigned

Dec 5, 2016

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.

• Elite Care Services LLC

  • Licensed Practical Nurse
  • Springfield Gardens, NY
  • NPI 1710686811
  NPD Authorized official

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

{
    "created_epoch": "1480896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480896000000",
    "number": "1942744396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15601 N CONDUIT AVE",
            "address_2": "APT B23",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114344300",
            "telephone_number": "516-288-6099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15601 N CONDUIT AVE",
            "address_2": "APT B23",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114344300",
            "telephone_number": "516-288-6099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER-STEWART",
        "first_name": "SHANNON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-05",
        "last_updated": "2016-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "10 327639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eugenia Burphy, NP
• Yakov Burstein, PHD
• Jessica Ann Burzotta, M.S., CCC-SLP, TSSLD
• Synat Iyabo Busari
• Janet Mary Busset
• Ashlie Darrel Butler, PMHNP-DNP
• Taylor Butts
• Marsha N Byfield, LPN
• Natalyea P Byfield, LMSW
• Charrai Byrd, PHARMD

• Licensed Practical Nurse in Jamaica, NY
• Providers in Jamaica, 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 5, 2016; 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.