Active NPI
Shanadra Gayden
- Nurse's Aide
- Alexandria, VA
National Provider Identifier
1093298523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- 1401229089
- Practice address
- 2101 Mill Rd Apt 109
Alexandria, VA 22314-5318 - Phone
- (240) 899-2753
- NPI assigned
- Sep 11, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 1401229089 | VA | Primary |
Addresses
Primary practice location
2101 Mill Rd Apt 109
Alexandria, VA 22314-5318
Mailing address
2101 Mill Rd
Alexandria, VA 22314-5317
Phone (240) 899-2753
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 |
|---|---|---|---|
| 1401229089 | VA | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748995200000",
"number": "1093298523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 MILL RD",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223145317",
"telephone_number": "240-899-2753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 MILL RD APT 109",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223145318",
"telephone_number": "240-899-2753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAYDEN",
"first_name": "SHANADRA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-09-11",
"last_updated": "2025-06-04",
"certification_date": "2025-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "VA",
"license": "1401229089",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.