Healthcare Provider Details

I. General information

NPI: 1346154127
Provider Name (Legal Business Name): SHAYNA CECILIA USHER BSN, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1365 WISCONSIN AVE NW
WASHINGTON DC
20007-3382
US

IV. Provider business mailing address

5921 ASHLAR WAY APT 741
ALEXANDRIA VA
22303-2841
US

V. Phone/Fax

Practice location:
  • Phone: 202-470-5804
  • Fax:
Mailing address:
  • Phone: 917-620-8848
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License NumberRN1058573
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: