Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013797000 Individual Practitioner Female Practitioner

Shivaughn White

Licensed Practical Nurse • Valley Stream, NY

Professional Overview & Biography Verified Profile Summary

Shivaughn White is a registered healthcare professional specializing in Licensed Practical Nurse in Valley Stream, NY. Practice services are available at 497 ROCKAWAY AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

497 Rockaway Ave

Valley Stream, NY 115811909

Telephone 7188452621

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Valley Stream, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.0 Yrs
Regional Practice Density
154 Specialists

Practicing in Valley Stream, NY (23738 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-10-05
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License NY 337825-01

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Amanda Khan

Counselor - Addiction (Substance Use Disorder)

NPI 1003421637
Chawanda Osborne

Social Worker

NPI 1033867205
Michaela Thomas

Social Worker

NPI 1043188253
Aurianna Moreno

Social Worker

NPI 1063367506
Nayhomy Caban

Case Manager/Care Coordinator

NPI 1083422018
Sharone Shlomo

Peer Specialist

NPI 1144051426

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 05, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location October 05, 2023

Registered at 497 ROCKAWAY AVE, VALLEY STREAM, NY 115811909 (Tel: 7188452621)

📍
Updated Business Mailing Address October 05, 2023

Registered at 5609 BEVERLEY RD # 2, BROOKLYN, NY 112035407 (Tel: 6315521192)

👤
Provider Name / Credentials Updated October 05, 2023

Recorded as SHIVAUGHN WHITE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 05, 2023

Licensed Practical Nurse (License #337825-01 in NY)

🟢
Initial NPI Registration & Enumeration October 05, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1013797000
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 05, 2023
Last Update: October 05, 2023
Sole Proprietor: Yes

Mailing Address

5609 Beverley Rd # 2

Brooklyn, NY 112035407

Phone: 6315521192

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.