- Practice location
- 161 Woodruff Ave, Apt.1a, Brooklyn, NY 11226-1870
- Phone
- 347-240-6232
- Fax
- —
- Last updated
- June 5, 2026
Khadine Kenesha Shields is a Licensed Practical Nurse based in Brooklyn, NY. Khadine Kenesha Shields practices in Brooklyn, NY and has the professional credentials of RN. The NPI Number for Khadine Kenesha Shields is 1982920674 and holds a License No. 300077 (NY). The current practice location address for Khadine Kenesha Shields is 161 Woodruff Ave, Apt.1a, Brooklyn, NY 11226-1870 and can be reached out via phone at 347-240-6232.
Provider Profile Details
- NPI Number
- 1982920674
- Provider Name
- Khadine Kenesha Shields
- Credential
- RN
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 161 Woodruff Ave, Apt.1a, Brooklyn, NY 11226-1870
- Phone Number
- 347-240-6232
- Primary Taxonomy
- Licensed Practical Nurse · 164W00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 20, 2010
- Last Update Date
- June 5, 2026
- Certification Date
- June 5, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 161 Woodruff Ave
Apt.1a
Brooklyn, NY 11226-1870 - City
- Brooklyn
- State
- New York
- Zip
- 11226-1870
- Phone Number
- 347-240-6232
Provider Business Mailing Address Details
- Address
- 67 Southridge Drive
Waterbury, CT 06708 - City
- Waterbury
- State
- CT
- Zip
- 06708
- Phone Number
- 347-564-8227
License Information
- License Number
- 300077
- License State
- NY
- Taxonomy
- Licensed Practical Nurse · 164W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mrs. Khadine K Shields, RN?
The NPI number of Mrs. Khadine K Shields, RN is 1982920674. It was assigned on April 20, 2010 and is currently active in the NPPES registry.
What is the specialty of Mrs. Khadine K Shields, RN?
Mrs. Khadine K Shields, RN is registered under the primary taxonomy Licensed Practical Nurse (code 164W00000X), licensed in NY under license number 300077.
Where does Mrs. Khadine K Shields, RN practice?
The practice location is 161 Woodruff Ave, Apt.1a, Brooklyn, NY 11226-1870. The office can be reached at 347-240-6232 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1982920674 directly on the NPPES registry website.