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MEDESA SHAVELL GARRETT LPN
NPI 1912412776
Licensed Practical Nurse in South Ozone Park, NY

Active since December 02, 2017
11440 VAN WYCK EXPY, SOUTH OZONE PARK, NY 11420(718) 322-3455(718) 848-4152 Get Directions Write a Review

NPPES record last updated: December 2, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Medesa Shavell Garrett Lpn NPPES

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

MEDESA SHAVELL GARRETT LPN (NPI 1912412776) is an individual licensed practical nurse in South Ozone Park, New York, licensed in New York (2849000) and active in the NPI registry since December 2017.

NPPES Registry Identity

NPI1912412776
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMEDESA SHAVELL GARRETTCredential: LPN
Location Address11440 VAN WYCK EXPYSouth Ozone Park, NY 11420-2229
Mailing Address11440 Van Wyck ExpySouth Ozone Park, NY 11420-2229 · (718) 322-3455 · Fax (718) 848-4152
Phone(718) 322-3455
Fax(718) 848-4152
Sole ProprietorYes
Enumeration DateDecember 2, 2017
✔ NPI 1912412776 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 · 2849000
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.
11440 VAN WYCK EXPY, South Ozone Park, NY 11420
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Other Providers at the Same Location NPPES 20

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

MRS. MILLICENT YVONNE WALKER
Registered Nurse (Addiction (Substance Use Disorder))
11440 VAN WYCK EXPY
SOUTH OZONE PARK, NY 11420
Queens County (718) 322-3455
RAWLE ANTHONY MCINTOSH
Counselor (Addiction (Substance Use Disorder))
11440 VAN WYCK EXPY
SOUTH OZONE PARK, NY 11420
Queens County (718) 322-3455
ANDRIA INGRAM MHC, CASAC-ADV
Counselor (Addiction (Substance Use Disorder))
11440 VAN WYCK EXPY
SOUTH OZONE PARK, NY 11420
Queens County (718) 322-3455
ISMAIL ABDUL QAADIR LPN
Licensed Practical Nurse
11440 VAN WYCK EXPY
SOUTH OZONE PARK, NY 11420
Queens County (718) 322-3455
SERONICA RENEE BRADLEY LPN
Licensed Vocational Nurse
11440 VAN WYCK EXPY
SOUTH OZONE PARK, NY 11420
Queens County (718) 322-3455
MS. DARLENE L. MATTHEWS CASAC-T
Counselor (Addiction (Substance Use Disorder))
11440 VAN WYCK EXPY
SOUTH OZONE PARK, NY 11420
Queens County (718) 322-3455
RICHARD JAMES CASAC
Counselor (Addiction (Substance Use Disorder))
11440 VAN WYCK EXPY
SOUTH OZONE PARK, NY 11420
Queens County (516) 325-0223
HULA MARIA EWING LPN
Licensed Practical Nurse
11440 VAN WYCK EXPY
SOUTH OZONE PARK, NY 11420
Queens County (718) 322-3455

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 Medesa Garrett's NPI number?

The NPI number for Medesa Garrett is 1912412776. It was assigned to this individual provider in the NPPES registry on December 2, 2017.

Where is Medesa Garrett located?

Medesa Garrett practices at 11440 Van Wyck Expy, South Ozone Park, NY 11420. The listed phone number is (718) 322-3455.

What is Medesa Garrett'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 Medesa Garrett was last updated on December 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.