Shalom Healing Services

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

SHALOM HEALING SERVICES

Practice address

1776 Berkeley Ave
Petersburg, VA 23805-2806

Phone

(804) 988-3468

NPI assigned

Apr 3, 2021

Organization subpart

No

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

Authorized official

Name

Alexandria Randolph

Title

Ceo/Owner

Phone

(804) 549-6413

Specialties & licenses 1

Addresses

Electronic endpoints 2

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

{
    "created_epoch": "1617408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617408000000",
    "number": "1326627803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1776 BERKELEY AVE",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238052806",
            "telephone_number": "804-549-6413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1776 BERKELEY AVE",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238052806",
            "telephone_number": "804-988-3468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHALOM HEALING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-03",
        "last_updated": "2021-04-03",
        "certification_date": "2021-04-03",
        "status": "A",
        "authorized_official_last_name": "RANDOLPH",
        "authorized_official_first_name": "ALEXANDRIA",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "804-549-6413"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Laptop",
            "affiliation": "N",
            "endpointDescription": "computer in home office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1776 Berkeley Ave",
            "city": "Petersburg",
            "state": "VA",
            "country_code": "US",
            "postal_code": "238052806",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Laptop",
            "affiliation": "N",
            "endpointDescription": "Home Office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1776 Berkeley Ave",
            "city": "Petersburg",
            "state": "VA",
            "country_code": "US",
            "postal_code": "238052806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Heather Renee Schwartz, LCSW
• Heather Diane Scott, PHARM.D.
• Sheryl Denise Scott
• Kathyrn Scribner, NP
• Arun Selvaratnam, OT/R
• India Marie Shaw
• Daniel Paul Sheneman, MD
• Frank F Shieh, MD
• Patrice Nicole Shuford
• Brad Thomas Siegmund, MD

• Health Service Clinic/Center in Petersburg, VA
• Providers in Petersburg, VA by specialty
• Health Service Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2021; 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.