SHATARA DEVAUGHN
NPI 1669830642
Licensed Practical Nurse in Brooklyn, NY

Q: What is Shatara Devaughn's NPI number?

The NPI number for Shatara Devaughn is 1669830642. It was assigned to this individual provider in the NPPES registry on February 4, 2016.

Q: What is Shatara Devaughn's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Shatara Devaughn was last updated on February 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 04, 2016

499 LINCOLN PL, BROOKLYN, NY 11238(347) 458-3417 Get Directions Write a Review

NPPES record last updated: February 4, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Shatara Devaughn NPPES

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

SHATARA DEVAUGHN (NPI 1669830642) is an individual licensed practical nurse in Brooklyn, New York, licensed in New York (321290) and active in the NPI registry since February 2016.

NPPES Registry Identity

NPI1669830642

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameSHATARA DEVAUGHN

Location Address499 LINCOLN PLBrooklyn, NY 11238-6244

Mailing Address499 Lincoln PlBrooklyn, NY 11238-6244

Phone(347) 458-3417

Sole ProprietorNo

Enumeration DateFebruary 4, 2016

✔ NPI 1669830642 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 · 321290

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.

499 LINCOLN PL, Brooklyn, NY 11238

Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shatara Devaughn's NPI number?

The NPI number for Shatara Devaughn is 1669830642. It was assigned to this individual provider in the NPPES registry on February 4, 2016.

Where is Shatara Devaughn located?

Shatara Devaughn practices at 499 Lincoln Pl, Brooklyn, NY 11238. The listed phone number is (347) 458-3417.

What is Shatara Devaughn's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Shatara Devaughn was last updated on February 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.