Individual provider Active NPI

Shelline Kerr, FNP

  • Family Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1982966842
Registry record updated Aug 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F339918-1 Issued in NY
Practice address
939 Lenox Rd
Brooklyn, NY 11203-2617
Phone
(718) 485-2245
NPI assigned
Jun 15, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 655617 NY
Nurse Practitioner 363L00000X F339918-1 NY
Family Nurse Practitioner 363LF0000X F339918-1 NY Primary

Addresses

Primary practice location

939 Lenox Rd
Brooklyn, NY 11203-2617

Mailing address

939 Lenox Rd
Brooklyn, NY 11203-2617
Phone (718) 485-2245

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
655617NYMDRegistered Nurse
F339918-1NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
BP Immediate Medical Care, PC CurrentSince Mar 1, 2020 Accepting new patients
Interfaith Emergency Medicine, P.C. CurrentSince Aug 22, 2017 Accepting new patients
Interfaith Professional Physician Services, P.C. Current Accepting new patients
Pharma Holding Inc PastSince Jul 23, 2023 Accepting new patients

Locations

1545 Atlantic Ave
Brooklyn, NY 11213
Phone (718) 613-4175

3808 14th Ave
Brooklyn, NY 11218
Phone (718) 972-2424

7537 31st Ave
Flushing, NY 11370
Phone (929) 447-7513

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: skerr677672@nychhc.direct-ci.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1339718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438819200000",
    "number": "1982966842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "939 LENOX RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032617",
            "telephone_number": "718-485-2245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "939 LENOX RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032617",
            "telephone_number": "718-485-2245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERR",
        "first_name": "SHELLINE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-15",
        "last_updated": "2015-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "655617",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F339918-1",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F339918-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.