Shenique Avis Russell, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

267200-1 Issued in NY

Practice address

2180 Empire Blvd
Webster, NY 14580-2029

Phone

(585) 787-2233

NPI assigned

May 25, 2010

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

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

{
    "created_epoch": "1274745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509494400000",
    "number": "1972822336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 GRAND AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146096236",
            "telephone_number": "585-288-0342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 EMPIRE BLVD",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145802029",
            "telephone_number": "585-787-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "SHENIQUE",
        "middle_name": "AVIS",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-25",
        "last_updated": "2017-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "267200-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Napoleone Rucci, O.D.
• Beth Anne Rulli, FNP
• Bryan R Rupert, R.PH.
• Lou Ann Rupert, RPH
• Michelle Rush
• Gregory J Ryan, M.D.
• Mary P Ryan, FNP
• Michael Colin Ryan, M.D.
• Madison Sabourin, PT, DPT
• Daniel Safee

• Licensed Practical Nurse in Webster, NY
• Providers in Webster, 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 Nov 1, 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.