SHAMIYA TYNELLE TAVER LPN
NPI 1497209233
Licensed Practical Nurse in Rochester, NY

Active since August 10, 2016
77 LUTHER CIR, ROCHESTER, NY 14611(585) 319-2398 Get Directions Write a Review

NPPES record last updated: August 10, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Shamiya Tynelle Taver Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHAMIYA TYNELLE TAVER LPN (NPI 1497209233) is an individual licensed practical nurse in Rochester, New York, licensed in New York (326140) and active in the NPI registry since August 2016.

NPPES Registry Identity

NPI1497209233
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameSHAMIYA TYNELLE TAVERCredential: LPN
Location Address77 LUTHER CIRRochester, NY 14611-3801
Mailing Address77 Luther CirRochester, NY 14611-3801 · (585) 319-2398
Sole ProprietorNo
Enumeration DateAugust 10, 2016
NPI 1497209233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in NY · 326140
Definition

A licensed practical nurse 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.

77 LUTHER CIR, Rochester, NY 14611

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497209233, enumerated as an "individual" on August 10, 2016.

The provider is located at 77 LUTHER CIR ROCHESTER, NY 14611 and the phone number is (585) 319-2398.

Licensed Practical Nurse with taxonomy code 164W00000X.