Individual provider Active NPI

Shona Treashana Chandon-Cooke, PA-C

  • Medical Physician Assistant
  • Washington, DC
National Provider Identifier
1376770057
Registry record updated Aug 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA030604 Issued in DC
Practice address
1310 Southern Ave SE
Washington, DC 20032-4623
Phone
(202) 574-6545
NPI assigned
Jun 19, 2009
Last updated
Aug 13, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA030604 DC Primary

Addresses

Primary practice location

1310 Southern Ave SE
Washington, DC 20032-4623

Mailing address

5309 9TH St NW
Washington, DC 20011-2901
Phone (202) 802-2844

Other names 1

  • Miss Shona Chandon Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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
I20090901000642 DC Practitioner - Physician Assistant 5395890081 Reassigns benefits to 4 organizations
I20140117001089 MD Practitioner - Physician Assistant 5395890081 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Crescent Urgent Health Care Services, LLCGroup PAC ID 5890843023, 12 clinicians

Practice addresses (Care Compare)

10540 Connecticut Ave
Kensington, MD 20895-2426
Phone (301) 949-0030

13428 New Hampshire Ave
Silver Spring, MD 20904-1264
Phone (301) 384-5010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
MNR Industries LLC Current Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince May 15, 2015 Accepting new patients
MNR Industries, LLC CurrentSince May 1, 2019 Accepting new patients
MNR Industries, LLC CurrentSince May 1, 2019 Accepting new patients
American Current Care PA CurrentSince May 9, 2014 Accepting new patients
American Current Care P.a. CurrentSince May 9, 2014 Accepting new patients
MNR Industries, LLC CurrentSince May 1, 2019 Accepting new patients
CRH MD Management, LLC CurrentSince Nov 13, 2023 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince May 15, 2015 Accepting new patients
CRH MD Management LLC CurrentSince Nov 13, 2023 Accepting new patients
Anacostia River Emergency Physicians LLC Past Accepting new patients

Locations

590 Lanier Ave W
Fayetteville, GA 30214

1505 E Churchville Rd
#A
Bel Air, MD 21014
Phone (410) 420-6970

6000 Laurel Bowie Rd
Bowie, MD 20715
Phone (301) 383-0330

1419 Knecht Ave
Halethorpe, MD 21227
Phone (410) 247-9595

4451 Parliament Pl
Ste G
Lanham, MD 20706
Phone (301) 459-9113

8118 Good Luck Rd
Lanham Seabrook, MD 20706
Phone (301) 552-8608

14421 Baltimore Ave
Laurel, MD 20707
Phone (240) 786-6684

504 E Ridgeville Blvd
#A
Mount Airy, MD 21771
Phone (301) 703-5452

11804 Reisterstown Rd
Reisterstown, MD 21136
Phone (410) 870-5094

14090 Hg Trueman Rd
Ste 1300
Solomons, MD 20688
Phone (410) 394-2800

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1245369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376352000000",
    "number": "1376770057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5309 9TH ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200112901",
            "telephone_number": "202-802-2844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 SOUTHERN AVE SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200324623",
            "telephone_number": "202-574-6545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDON-COOKE",
        "first_name": "SHONA",
        "middle_name": "TREASHANA",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-19",
        "last_updated": "2013-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "DC",
            "license": "PA030604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHONA",
            "last_name": "CHANDON",
            "prefix": "MISS",
            "credential": "PA-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.