Individual provider Active NPI

Shanda Berry, MS, LCGC

  • Genetic Counselor (M.S.)
  • Fairfax, VA
National Provider Identifier
1003516741
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Genetic Counselor (M.S.)Taxonomy code 170300000X
License
20513
Practice address
3025 Hamaker CT Ste 330
Fairfax, VA 22031-2243
Phone
(571) 282-3923
Fax
(571) 730-4091
NPI assigned
Mar 9, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Genetic Counselor (M.S.) 170300000X 20513 Primary

Addresses

Primary practice location

3025 Hamaker CT Ste 330
Fairfax, VA 22031-2243

Mailing address

3025 Hamaker CT Ste 330
Fairfax, VA 22031-2243
Phone (571) 282-3923

Other practice location 1

900 Caton Ave
Baltimore, MD 21229-5201
Phone (667) 234-2523

Other practice location 2

9601 Blackwell Rd Ste 220
Rockville, MD 20850-6491
Phone (301) 279-6060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1678320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1003516741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 HAMAKER CT STE 330",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312243",
            "telephone_number": "571-282-3923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 HAMAKER CT STE 330",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312243",
            "telephone_number": "571-282-3923",
            "fax_number": "571-730-4091"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Caton Ave",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212295201",
            "country_code": "US",
            "telephone_number": "667-234-2523",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9601 Blackwell Rd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "208506491",
            "country_code": "US",
            "telephone_number": "301-279-6060",
            "fax_number": "301-279-6345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERRY",
        "first_name": "SHANDA",
        "credential": "MS, LCGC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-09",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": null,
            "license": "20513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.