SHANIQUA NICOLE WILSON


Address: 707 E Main St, Middletown, NY 10940-2650
Phone: 8453332260

SHANIQUA NICOLE WILSON (NPI# 1588150593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588150593
Entity Type Individual
Full Name SHANIQUA NICOLE WILSON
Practice Address 707 E Main St
Middletown
NY 10940-2650
Practice Telephone 8453332260
Practice Fax Number 8453332245
Mailing Telephone 8453332260
Mailing Fax Number 8453332245
Enumeration Date 2018-07-03
Last Update Date 2020-09-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163W00000X Registered Nurse 636904 NY Nursing Service Providers
N 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
402439 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 707 E MAIN ST
City MIDDLETOWN
State NY
Zip Code 10940-2650

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649275942 Mihai Olteanu Anesthesiology 707 E Main St, Middletown, NY 10940 2005-06-15
1699373944 Cara Maher Speech-Language Pathologist 707 E Main St, Middletown, NY 10940-2650 2020-10-09
1396358552 Rachel Chassen Nurse Practitioner 707 E Main St, Middletown, NY 10940-2650 2020-08-27
1942812623 Priyanka Tadepalli Nurse Practitioner 707 E Main St, Middletown, NY 10940-2650 2020-08-23
1447868807 Jennifer Marie Wade Physician Assistant 707 E Main St, Middletown, NY 10940-2650 2020-07-21
1558989004 Anisha Vadehra Physician Assistant 707 E Main St, Middletown, NY 10940-2650 2020-07-10
1740805464 Zahid Mahmood Student in an Organized Health Care Education/Training Program 707 E Main St, Middletown, NY 10940-2650 2020-06-09
1780209338 Umbreen Ahmad Student in an Organized Health Care Education/Training Program 707 E Main St, Middletown, NY 10940-2650 2020-06-09
1306460100 Manal Saif Student in an Organized Health Care Education/Training Program 707 E Main St, Middletown, NY 10940-2650 2020-06-08
1083238984 Arezoo Teimouri Physician Assistant 707 E Main St, Middletown, NY 10940-2650 2020-06-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366043135 Sherell Rebecca Hassell-robinson Social Worker 1 Echo Hills Road, Middletown, NY 10940 2020-11-06
1144821927 Fred Allen Mccormack Social Worker 210 East Main St Suite 105, Middletown, NY 10940 2020-11-06
1609484567 Gen Med Inc Anesthesiology 253 Route 211 East, 2nd Floor, Middletown, NY 10940 2020-07-16
1366067092 Kalyn Ruscher Counselor 303 5th Ave 14 Fl, Suite 1410, New York, NY 10940 2020-06-09
1780238220 Angela Mayo Social Worker 24 Union Street, Middletown, NY 10940 2019-08-01
1215593611 Northern Medical Center, Inc Family Medicine 14 Jason Place, Suite 201, Middletown, NY 10940 2019-05-13
1811468267 Diana Katzenberger Licensed Practical Nurse 774 Kurbytuwn Rd, Middletown, NY 10940 2018-12-11
1881165330 Chereen Madden-grant Registered Nurse 1028 Route 211 W, Middletown, NY 10940 2018-12-10
1184106361 Clarise Denise Williams Social Worker 210 E Main St Suite 105, Middletown, NY 10940 2018-09-04
1194210963 Damon Tremayne Swinea Social Worker 16-24 Union St., Middletown, NY 10940 2018-06-25
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Taxonomy Information

Taxonomy Code 163W00000X
Grouping Nursing Service Providers
Classification Registered Nurse

Taxonomy Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144821158 Aeneas Kwame Osei Registered Nurse 28 Horseshoe Way, Middletown, NY 10940-2334 2020-11-05
1578104204 Alexsis Jones Registered Nurse 1584 Route 211 E, Middletown, NY 10941-3732 2019-10-03
1134773088 Mary Truesdel Registered Nurse 15 Fortune Rd West, Middletown, NY 10941-1625 2019-07-30
1821641838 Jennifer R Piaskowski Registered Nurse 621 Middletown Odessa Rd, Middletown, DE 19709-9602 2019-07-18
1023670940 Atlanta Enjoli Williams Registered Nurse 240 Bucktail Dr, Middletown, DE 19709-6131 2019-07-01
1285297689 Christina Onassis Lewis Registered Nurse 969 W Main Rd Apt 1402, Middletown, RI 02842-6388 2019-04-22
1871051227 Patricia Catherine Marra Registered Nurse 630 Village Dr, Middletown, DE 19709-1235 2019-03-05
1881165330 Chereen Madden-grant Registered Nurse 1028 Route 211 W, Middletown, NY 10940 2018-12-10
1790253730 Donyelle Echevarria Registered Nurse 128 Patio Rd, Middletown, NY 10941-1655 2018-11-07
1083181549 Maryam Devlin Registered Nurse 286 Ruth Ct, Middletown, NY 10940-5321 2018-11-01
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Competitor

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City MIDDLETOWN
Zip Code 10940

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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