Provider Demographics
NPI:1295523645
Name:WHITE, SHAMEKA DENISE (LPN)
Entity type:Individual
Prefix:
First Name:SHAMEKA
Middle Name:DENISE
Last Name:WHITE
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 WRIGHT TER
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14605-1553
Mailing Address - Country:US
Mailing Address - Phone:585-622-0805
Mailing Address - Fax:
Practice Address - Street 1:12 WRIGHT TER
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14605-1553
Practice Address - Country:US
Practice Address - Phone:585-622-0805
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-28
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY344150164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse