MEREDITH GROFF SHIELDS NP NPI 1043555618

NPI Information

  • NPI: 1043555618
  • Provider Name: MEREDITH GROFF SHIELDS, NP
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • Address: 161 FORT WASHINGTON AVE
    11TH FLOOR
    NEW YORK, NY
    ZIP 10032
  • Phone: (212) 305-0114

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NPI Details

Meredith Groff Shields, NP is an adult health nurse practitioner in New York, NY. Meredith Groff Shields, NP NPI is 1043555618. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

161 FORT WASHINGTON AVE
11TH FLOOR
NEW YORK, NY
ZIP 10032-729
Phone: (212) 305-0114
Fax: (212) 305-0116

The enumeration date for this NPI number is 12/7/2012 and was last updated on 2/4/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2200XNurse PractitionerAdult Health306338NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1A400092205MEDICARE PINNEW YORK
203643529MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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