Shenandoah Valley Podiatry

Primary specialty

PodiatristTaxonomy code 213E00000X

License

0103300725 Issued in VA

Legal business name

SHENANDOAH VALLEY PODIATRY

Practice address

60 Summerfield CT
Suite 102
Roanoke, VA 24019-4579

Phone

(540) 904-1458

Fax

(855) 495-0994

NPI assigned

Oct 12, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer Anne Keller, DPMNPI 1144290784

Title

President

Phone

(540) 904-1458

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Shenandoah Valley Podiatry Associates, Ltd. Other name

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Anne Keller, DPM

  • Podiatrist
  • Roanoke, VA
  • NPI 1144290784
  NPD Authorized official
• Natalie Allen, DPM

  • Foot & Ankle Surgery Podiatrist
  • Roanoke, VA
  • NPI 1912391293
  NPD

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407283200000",
    "number": "1003905878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 SUMMERFIELD CT",
            "address_2": "SUITE 102",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240194579",
            "telephone_number": "540-904-1458",
            "fax_number": "855-495-0994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 SUMMERFIELD CT",
            "address_2": "SUITE 102",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240194579",
            "telephone_number": "540-904-1458",
            "fax_number": "855-495-0994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHENANDOAH VALLEY PODIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2014-08-06",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-904-1458",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "VA",
            "license": "0103300725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480032174",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9304291",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shenandoah Valley Podiatry Associates, Ltd.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Diane W Shelton, SLP
• Heath Walker Shelton, DO, MS
• John Shelton, M.D.
• Leanne Shelton
• Lili Shen
• Amy Elizabeth Shepard
• Caylin Elizabeth Shepard, MSN, NP-C
• Brian Austin Shepherd, DC
• Sarah F Shepherd, NP
• Beruk Sherif, MD

• Podiatrist in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Podiatrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.