Individual provider Active NPI

Amanda Leigh Shifflett

  • Student in an Organized Health Care Education/Training Program
  • Winchester, VA
National Provider Identifier
1205226008
Registry record updated Jan 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
0203015098 Issued in VA
Practice address
2340 Legge Blvd
Winchester, VA 22601-7008
Phone
(540) 535-0227
NPI assigned
Jan 31, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 0203015098 VA Primary

Addresses

Primary practice location

2340 Legge Blvd
Winchester, VA 22601-7008

Mailing address

2340 Legge Blvd
Winchester, VA 22601-7008
Phone (540) 535-0227

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

LicenseStateTypeSpecialty
0203015098VAMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1422662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422662400000",
    "number": "1205226008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 LEGGE BLVD",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226017008",
            "telephone_number": "540-535-0227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 LEGGE BLVD",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226017008",
            "telephone_number": "540-535-0227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIFFLETT",
        "first_name": "AMANDA",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-31",
        "last_updated": "2015-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "VA",
            "license": "0203015098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2015; 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.