Individual provider Active NPI

Quianna Shanea Flood, CPNP-PC

  • Pediatric Nurse Practitioner
  • Roanoke, VA
National Provider Identifier
1043808231
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
0024180821 Issued in VA
Practice address
4040 Postal Dr
Roanoke, VA 24018-6438
Phone
(540) 772-4453
Fax
(540) 772-4717
NPI assigned
Jan 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 0024180821 VA Primary

Addresses

Primary practice location

4040 Postal Dr
Roanoke, VA 24018-6438

Mailing address

4040 Postal Dr
Roanoke, VA 24018-6438
Phone (540) 772-4453

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210330000004 VA Practitioner - Nurse Practitioner 4688081151 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024180821VAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carilion Medical Center CurrentSince Apr 11, 2021 Accepting new patients
Carilion Healthcare Corporation CurrentSince Apr 11, 2021 Accepting new patients
Carilion Medical Center CurrentSince Apr 11, 2021 Accepting new patients
Carilion Healthcare Corporation CurrentSince Apr 11, 2021 Accepting new patients

Locations

60 Market Center Way
Daleville, VA 24083
Phone (540) 992-1251

2017 Jefferson St SW
Roanoke, VA 24014
Phone (540) 981-7128

4040 Postal Dr
Roanoke, VA 24018
Phone (540) 772-4453

213 S Jefferson St
Ste 1006
Roanoke, VA 24011
Phone (540) 224-5353

1030 S Jefferson St
Ste 106
Roanoke, VA 24016
Phone (540) 343-4092

6415 Peters Creek Rd
Roanoke, VA 24019
Phone (703) 562-2110

Interoperability endpoints

  • Direct secure messaging: qcharles135167@direct.carilionclinic.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1043808231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4040 POSTAL DR",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240186438",
            "telephone_number": "540-772-4453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 POSTAL DR",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240186438",
            "telephone_number": "540-772-4453",
            "fax_number": "540-772-4717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLOOD",
        "first_name": "QUIANNA",
        "middle_name": "SHANEA",
        "credential": "CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-04",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "VA",
            "license": "0024180821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.