Active NPI
Shakita Quamiley
- Home Health Aide
- Virginia Beach, VA
National Provider Identifier
1053040857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- 11392805
- Practice address
- 473 Rudder Rd
Virginia Beach, VA 23454-4826 - Phone
- (757) 343-9512
- NPI assigned
- Jun 7, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | 11392805 | VA | Primary |
Addresses
Primary practice location
473 Rudder Rd
Virginia Beach, VA 23454-4826
Mailing address
473 Rudder Rd
Virginia Beach, VA 23454-4826
Phone (757) 343-9512
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11392805 | VA | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660089600000",
"number": "1053040857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "473 RUDDER RD",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234544826",
"telephone_number": "757-343-9512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "473 RUDDER RD",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234544826",
"telephone_number": "757-343-9512"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUAMILEY",
"first_name": "SHAKITA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-07",
"last_updated": "2022-08-10",
"certification_date": "2022-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "VA",
"license": "11392805",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.