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Shameka Dillahunt, RN

Registered Nurse in Rochester, NY. Individual provider (NPI-1).

NPI number1164062055
StatusActive
Last updated in NPPESJan 8, 2020

Details

NPI
1164062055
Entity type
Individual (NPI-1)
Name
Shameka Dillahunt
Credential
RN
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 8, 2020
Certification date
Jan 8, 2020
Last updated
Jan 8, 2020

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163W00000X Registered Nurse711984NYYes

Practice location

136 Dr Samuel McCree Way
Rochester, NY 14608-2305

Phone 718-629-8901

Mailing address

136 Dr Samuel McCree Way
Rochester, NY 14608-2305

Phone 718-629-8901

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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