Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shashai Tamara Thomas, NURSEPRACTITIONER

Individual provider Licensed Practical Nurse · NPI 1386072676

Shashai Tamara Thomas, NURSEPRACTITIONER is a Nurse Practitioner in Brooklyn, New York. Qualified in 2020, 6 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in New York.

Years since qualifying
6
Licensed in
NY
In the registry since
2013
Specialties on file
2
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Practice location Address checks out

1495 E 28th St Apt 2D
Brooklyn, NY 11229-1872
Phone: (954) 913-5275
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 360 E 137th St Apt 17d, Bronx, NY 10454-3912 — (646) 841-5103

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F350431 (NY)
Licensed Practical Nurse Taxonomy 164W00000X · Licence 310754-1 (NY)

Record details

NPI number1386072676
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorYes
NPI enumeratedOctober 23, 2013
Last updated in NPPESSeptember 30, 2022
Certification dateSeptember 30, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

Other providers in Brooklyn