Shauna Wise

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

0024184185 Issued in VA

Practice address

156 Thistle St
Princeton, WV 24739-5926

Phone

(304) 952-0302

NPI assigned

May 1, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, NC, DC3 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 3

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Care Solutions of NC, PC

  • Nephrology Physician
  • Denver, CO
  • NPI 1235919283

  NC

  Medicare reassignment NPD
• East Bay Nephrology Medical Group, Inc.

  • Nephrology Physician
  • Vallejo, CA
  • NPI 1184719809
  Medicare reassignment NPD
• Infusion Express of California Inc

  • Infusion Therapy Clinic/Center
  • Fremont, CA
  • NPI 1447604525
  Medicare reassignment NPD
• Ivx Health of North Carolina, P.C.

  • Clinic/Center
  • Matthews, NC
  • NPI 1376290239
  Medicare reassignment NPD
• Strive Health Southeast, LLC

  • Nephrology Physician
  • Denver, CO
  • NPI 1811506975

  DC

  Medicare reassignment NPD
• East Bay Nephrology Medical Group, Inc.

  • Nephrology Physician
  • Berkeley, CA
  • NPI 1871699074
  NPD
• North Carolina Kidney Care, PC

  • Nephrology Physician
  • Denver, CO
  • NPI 1164028940
  NPD

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

{
    "created_epoch": "1651363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1356086748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 THISTLE ST",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247395926",
            "telephone_number": "304-952-0302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 THISTLE ST",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247395926",
            "telephone_number": "304-952-0302"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2311 Wilson Blvd Fl 3",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222015436",
            "country_code": "US",
            "telephone_number": "804-571-2336",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3214 Charles B Root Wynd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276125440",
            "country_code": "US",
            "telephone_number": "919-877-6800",
            "fax_number": "844-881-7701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WISE",
        "first_name": "SHAUNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-01",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5020634",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024184185",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024184185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Revonda Wills
• Mark T Wilt, DPM
• Kimberly Winebush
• Angela Winn
• Charity Lee Winterrowd
• Stephanie Angela Wiseman
• Amber Wolford
• Womens Healthcare of the Virginias LLC
• Joseph Sean Wood, PT
• Stephanie Jeanine Wood, RN

• Nurse Practitioner in Princeton, WV
• Providers in Princeton, WV by specialty
• Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.