Health-Based Primary Care

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

HEALTH-BASED PRIMARY CARE

Practice address

11 Gladysz Way
Port Jefferson, NY 11777-2263

Phone

(917) 326-1701

NPI assigned

May 27, 2024

Organization subpart

No

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

Authorized official

Name

Shereda LawrenceNPI 1508489022

Title

Nurse Practitioner

Phone

(917) 326-1701

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shereda Lawrence

  • Family Nurse Practitioner
  • Jackson Heights, NY
  • NPI 1508489022
  NPD (past) Authorized official

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

{
    "created_epoch": "1716768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731369600000",
    "number": "1992545214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 GLADYSZ WAY",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117772263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 GLADYSZ WAY",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117772263",
            "telephone_number": "917-326-1701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH-BASED PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-27",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "SHEREDA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "917-326-1701"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Sohail Hashmi
• Sarah Hassan
• Nicole Hayes
• Healing Mocean Massage
• Health Aides Group
• Erin Healy, LCSW
• Patricia A Hebron
• Erica Ariel Hecht, PT, DPT
• Genevieve Heidrich, LCSW
• Barbara A Heim, OTRL

• Family Nurse Practitioner in Port Jefferson, NY
• Providers in Port Jefferson, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.