Shine the Light, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

51223 Issued in VA

Legal business name

SHINE THE LIGHT, INC.

Practice address

1319 Spratley St
Portsmouth, VA 23704-1810

Phone

(757) 639-7159

NPI assigned

Dec 1, 2007

Last updated

Dec 1, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Claude L Coleman, MD

Title

Ceo

Phone

(757) 673-5255

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1196467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196467200000",
    "number": "1063694008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2107 SEASTONE TRCE",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233213768",
            "telephone_number": "757-673-5255",
            "fax_number": "757-271-9116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 SPRATLEY ST",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237041810",
            "telephone_number": "757-639-7159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINE THE LIGHT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-01",
        "last_updated": "2007-12-01",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "CLAUDE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "757-673-5255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "51223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Shepherd
• Shepherds Lodge Inc.
• Craig Douglas Shepps, MD
• Peter D Sherrod, MD
• Heather Shibley, MD
• Hannah Shinn
• Daniel Nathan Shippy, M.D.
• Jennifer Catherine Shippy, M.D.
• Paula Rinebolt Shirk, M.S., N.C.S.P.
• Timothy R Shope, MD

• Community/Behavioral Health Agency in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2007; 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.