Active NPI
Shenise Seabrook, FNP
- Family Nurse Practitioner
- Manassas, VA
National Provider Identifier
1033526231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024176690
- Practice address
- 6909 Stethem CT
Manassas, VA 20112-3080 - Phone
- (843) 452-9746
- NPI assigned
- Jul 20, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024176690 | VA | Primary |
| Family Nurse Practitioner | 363LF0000X | 18891 | SC |
Addresses
Primary practice location
6909 Stethem CT
Manassas, VA 20112-3080
Mailing address
6909 Stethem CT
Manassas, VA 20112-3080
Phone (843) 452-9746
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024176690 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Watch, LLC | Family | Current | Accepting new patients |
| Gray'S Pain Relief Center, LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671235200000",
"number": "1033526231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6909 STETHEM CT",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201123080",
"telephone_number": "843-452-9746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6909 STETHEM CT",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201123080",
"telephone_number": "843-452-9746"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEABROOK",
"first_name": "SHENISE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-20",
"last_updated": "2022-12-17",
"certification_date": "2022-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024176690",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "18891",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manassas, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.