Individual provider Active NPI

Schevaughn Carr-Celestine, FNP

  • Family Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1992779508
Registry record updated Jan 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
334317 Issued in NY
Practice address
85 W Burnside Ave
Bronx, NY 10453-4015
Phone
(718) 716-4400
Fax
(718) 294-6912
NPI assigned
Feb 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 334317 NY Primary

Addresses

Primary practice location

85 W Burnside Ave
Bronx, NY 10453-4015

Mailing address

85 W Burnside Ave
Bronx, NY 10453-4015
Phone (718) 716-4400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110506000091 NY Practitioner - Nurse Practitioner 2062697097 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Joseph P. Addabbo Family Health Center, Inc.Group PAC ID 0749174654, shared by 5 NPIs, 30 clinicians
Morris Heights Health Center, Inc.Group PAC ID 3072798172, 49 clinicians

Practice addresses (Care Compare)

11439 Sutphin Blvd
Jamaica, NY 11434-1022
Phone (718) 945-7150

85 W Burnside Ave
Bronx, NY 10453-4015
Phone (718) 483-1270

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC CurrentSince Dec 17, 2017 Accepting new patients
Morris Heights Health Center, Inc. CurrentSince Oct 16, 2017 Accepting new patients
Morris Heights Health Center, Inc. CurrentSince Oct 16, 2017 Accepting new patients
Joseph P. Addabbo Family Health Center, Inc. Past Accepting new patients

Locations

625 E 137th St
Bronx, NY 10454
Phone (718) 259-2122

85 W Burnside Ave
Bronx, NY 10453
Phone (718) 483-1270

6010 Bay Pkwy
Ste 901
Brooklyn, NY 11204
Phone (718) 238-2100

300 Community Dr
Plandome, NY 11030

972 Brush Hollow Rd
Westbury, NY 11590

Networks

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

Interoperability endpoints

  • Direct secure messaging: schevaughn.carrcelestine.p1@direct.mhhc.nextgenshare.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": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325635200000",
    "number": "1992779508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 W BURNSIDE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104534015",
            "telephone_number": "718-716-4400",
            "fax_number": "718-294-6912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 W BURNSIDE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104534015",
            "telephone_number": "718-716-4400",
            "fax_number": "718-294-6912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR-CELESTINE",
        "first_name": "SCHEVAUGHN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-13",
        "last_updated": "2012-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "334317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.