Individual provider Active NPI

Melissa Shaw, NP

  • Family Nurse Practitioner
  • Richmond, VA
National Provider Identifier
1184398505
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024182318 Issued in VA
Practice address
7650 E Parham Rd Ste 210
Richmond, VA 23294-4306
Phone
(804) 272-2702
NPI assigned
Aug 9, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024182318 VA Primary

Addresses

Primary practice location

7650 E Parham Rd Ste 210
Richmond, VA 23294-4306

Mailing address

7650 E Parham Rd Ste 210
Richmond, VA 23294-4306
Phone (804) 272-2702

Other practice location 1

348 Browns Hill Ct
Midlothian, VA 23114-9511
Phone (804) 272-2702

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211119001276 VA Practitioner - Nurse Practitioner 4385033935 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virginia Diabetes and Endocrinology PCGroup PAC ID 6800871278, 10 clinicians

Practice addresses (Care Compare)

7650 E Parham Rd
Richmond, VA 23294-4373
Phone (804) 272-2702

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Diabetes and Endocrinology PC CurrentSince Nov 5, 2021 Accepting new patients
Virginia Diabetes and Endocrinology PC PastSince Jul 3, 2022 Accepting new patients

Locations

348 Browns Hill Ct
Midlothian, VA 23114
Phone (804) 272-2702

7650 E Parham Rd
Ste 210
Richmond, VA 23294
Phone (804) 272-2702

7650 E Parham Rd
Richmond, VA 23294
Phone (804) 270-1302

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IAJGBA/Endpoint/IAJGBA
  • FHIR API: https://fhir4.healow.com/fhir/r4/IAJGBA

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1628467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1184398505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7650 E PARHAM RD STE 210",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232944306",
            "telephone_number": "804-272-2702",
            "fax_number": "804-747-9050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7650 E PARHAM RD STE 210",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232944306",
            "telephone_number": "804-272-2702"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "348 Browns Hill Ct",
            "address_purpose": "LOCATION",
            "city": "Midlothian",
            "state": "VA",
            "postal_code": "231149511",
            "country_code": "US",
            "telephone_number": "804-272-2702",
            "fax_number": "804-272-9355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAW",
        "first_name": "MELISSA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-09",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024182318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.