Seva Health, LLC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

R121021 Issued in MD

Legal business name

SEVA HEALTH, LLC

Practice address

9133 Sunset Ridge Rd
Randallstown, MD 21133-3651

Phone

(410) 299-3803

NPI assigned

Jul 23, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Angel V Shannon, CRNPNPI 1326482639

Title

Executive Director

Phone

(410) 299-3803

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Angel V Shannon, MS, CRNP

  • Adult Health Nurse Practitioner
  • Randallstown, MD
  • NPI 1326482639
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1406073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406073600000",
    "number": "1083022966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9133 SUNSET RIDGE RD",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211333651",
            "telephone_number": "410-299-3803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9133 SUNSET RIDGE RD",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211333651",
            "telephone_number": "410-299-3803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEVA HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-23",
        "last_updated": "2014-07-23",
        "status": "A",
        "authorized_official_last_name": "SHANNON",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "410-299-3803",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R121021",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MD",
            "license": "R121021",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "065284900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Rose Schwarb, PA-C
• Kathleen Scott, PA-C
• Seasons Therapy Services, LLC
• Bethel Seleshi, PHARMD
• Serenity Living, LLC
• Sabeena Imtiyaz Shaikh, MD
• Angel V Shannon, MS, CRNP
• Share Ride Transportation Inc
• Adam Michael Shaughnessy, CRNA
• Robert Steven Shemer, DDS

• Adult Health Nurse Practitioner in Randallstown, MD
• Providers in Randallstown, MD by specialty
• Adult Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.