Shawn Pennetti, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024175396 Issued in VA

Practice address

3025 Berkmar Dr
Charlottesville, VA 22901-1456

Phone

(434) 973-1831

NPI assigned

Sep 15, 2017

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Privia Medical Group, LLC

  • Internal Medicine Physician
  • Arlington, VA
  • NPI 1013042480
  Medicare reassignment NPD
• Privia Medical Group, LLC

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Rockville, MD
  • NPI 1811715436
  NPD
• Charlottesville Family Medicine, PC

  • Internal Medicine Physician
  • Charlottesville, VA
  • NPI 1427128586
  NPD (past)

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

{
    "created_epoch": "1505433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1013436476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 BERKMAR DR STE 1",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229011456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 BERKMAR DR",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229011456",
            "telephone_number": "434-973-1831"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1756 Warbler Way",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "22903",
            "country_code": "US",
            "telephone_number": "703-401-6432",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1756 Warbler Way",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "22903",
            "country_code": "US",
            "telephone_number": "703-401-6432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENNETTI",
        "first_name": "SHAWN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-15",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024175396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Phillip Ross Pemberton, MD
• David R Penberthy, MD
• Jennifer K. Penberthy
• Katherine Renee Pence, PA-C
• Katherine Peng, M.D.
• Allyson K Pennington, FNP
• Alexandria Skye Penwell, MD
• People Places, Inc.
• Heather R. Peppard, M.D.
• Christina Marie Percival, LPC

• Family Nurse Practitioner in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.