Rodney Shaw, SCCM

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Practice address

1401 Kempsville Rd Ste D
Chesapeake, VA 23320-8316

Phone

(757) 366-0708

Fax

(757) 366-0709

NPI assigned

Oct 11, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Elvr Transport LLC

  • Non-emergency Medical Transport (VAN)
  • Chesapeake, VA
  • NPI 1114585023
  NPD Authorized official

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

{
    "created_epoch": "1507680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507680000000",
    "number": "1114437647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11800 BARRINGTON HILL CT",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232331876",
            "telephone_number": "804-503-6087",
            "fax_number": "757-366-0709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 KEMPSVILLE RD STE D",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233208316",
            "telephone_number": "757-366-0708",
            "fax_number": "757-366-0709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "RODNEY",
        "credential": "SCCM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-11",
        "last_updated": "2017-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1619399748",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Francis Sharrock, DDS
• Antwana Shaw
• Ash Shaw, LMT
• Bryan Shaw
• Hannah M Shaw, LPC-R
• Kellie Shea
• Miranda Shearin, RD
• Mallary Sheehan
• Rebecca Sheehan, RBT
• Kristen Sheely

• Home Health Agency in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Home Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2017; 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.