Individual provider Active NPI

Sandra Boyd Shaheed, APRN

  • Family Nurse Practitioner
  • Oxon Hill, MD
National Provider Identifier
1275738965
Registry record updated Feb 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R070214 Issued in MD
Practice address
7306 Circle Dr E
Oxon Hill, MD 20745-1714
Phone
(301) 567-8891
NPI assigned
Jun 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2009

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X R070214 MD
Family Nurse Practitioner 363LF0000X 0024166447 VA
Family Nurse Practitioner 363LF0000X R070214 MD Primary
Family Nurse Practitioner 363LF0000X RN41201 DC

Addresses

Primary practice location

7306 Circle Dr E
Oxon Hill, MD 20745-1714

Mailing address

7306 Circle Dr E
Oxon Hill, MD 20745-1714
Phone (301) 567-8891

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080228000639 MD Practitioner - Nurse Practitioner 5294819256 Reassigns benefits to 4 organizations
I20080228000647 DC Practitioner - Nurse Practitioner 5294819256 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024166447VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Eldercare Physician Services LLC CurrentSince Sep 13, 2016 Accepting new patients

Locations

3330 Wilkens Ave
Baltimore, MD 21229
Phone (410) 525-1544

347 Ballenger Center Dr
Frederick, MD 21703
Phone (301) 633-5181

1801 Wentworth Rd
Parkville, MD 21234
Phone (410) 661-5717

9200 Franklin Square Dr
Rosedale, MD 21237
Phone (410) 390-2600

310 Genesis Way
Ste 600
Severna Park, MD 21146
Phone (410) 544-4220

3227 Bel Pre Rd
Silver Spring, MD 20906
Phone (301) 871-2000

Organizations & group practices 5

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": "1182297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235088000000",
    "number": "1275738965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7306 CIRCLE DR E",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207451714",
            "telephone_number": "301-567-8891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7306 CIRCLE DR E",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207451714",
            "telephone_number": "301-567-8891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHEED",
        "first_name": "SANDRA",
        "middle_name": "BOYD",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-20",
        "last_updated": "2009-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MD",
            "license": "R070214",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024166447",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R070214",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "RN41201",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxon Hill, MD

Sources for this page

Verify at the official NPI Registry.