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RAQUEL SHIVANNA SOOKRAM FNP
NPI 1841807799
Nurse Practitioner in Ridgewood, NY

Active since September 24, 2020
5505 MYRTLE AVE, RIDGEWOOD, NY 11385(718) 471-6454 Get Directions Write a Review

NPPES record last updated: September 24, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Raquel Shivanna Sookram Fnp NPPES

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

RAQUEL SHIVANNA SOOKRAM FNP (NPI 1841807799) is an individual nurse practitioner in Ridgewood, New York, licensed in New York (F346461-01) and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1841807799
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameRAQUEL SHIVANNA SOOKRAMCredential: FNP
Location Address5505 MYRTLE AVERidgewood, NY 11385-3550
Mailing Address10922 123rd StSouth Ozone Park, NY 11420-1424
Phone(718) 471-6454
Sole ProprietorYes
Enumeration DateSeptember 24, 2020
NPPES CertifiedSeptember 24, 2020
✔ NPI 1841807799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NY · F346461-01
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
5505 MYRTLE AVE, Ridgewood, NY 11385
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANDI BALA PT, DPT
Physical Therapist
5505 MYRTLE AVE
RIDGEWOOD, NY 11385
Queens County (347) 408-2387
DR. TRISTAN YARTER PT, DPT
Physical Therapist
5505 MYRTLE AVE
RIDGEWOOD, NY 11385
Queens County (347) 408-2387
COURTNEY MCKENZIE PT, DPT
Physical Therapist
5505 MYRTLE AVE
RIDGEWOOD, NY 11385
Queens County (347) 408-2387

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 Raquel Sookram's NPI number?

The NPI number for Raquel Sookram is 1841807799. It was assigned to this individual provider in the NPPES registry on September 24, 2020.

Where is Raquel Sookram located?

Raquel Sookram practices at 5505 Myrtle Ave, Ridgewood, NY 11385. The listed phone number is (718) 471-6454.

What is Raquel Sookram's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Raquel Sookram was last updated on September 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.