Sharon Anne Crookshanks, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0110001683 Issued in VA

Practice address

4461 Starkey Rd Ste 201
Roanoke, VA 24018

Phone

(540) 345-4946

Fax

(540) 343-7693

NPI assigned

Mar 15, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547510400000",
    "number": "1386613164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4461 STARKEY RD STE 201",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240180622",
            "telephone_number": "540-345-4946",
            "fax_number": "540-343-7693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4461 STARKEY RD STE 201",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "24018",
            "telephone_number": "540-345-4946",
            "fax_number": "540-343-7693"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4461 Starkey Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "24018",
            "country_code": "US",
            "telephone_number": "540-345-4946",
            "fax_number": "540-343-7693",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROOKSHANKS",
        "first_name": "SHARON",
        "middle_name": "ANNE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-15",
        "last_updated": "2019-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110001683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quytera Crockett
• Stephen F Cromer, DO
• Susan Cronier
• David C. Cronin II, MD, PHD
• Paul Henry Cronk, DC
• Daniel Crosby
• Scott James Crosby, M.D.
• Griffin Cross
• Jeff S Croteau, M.D.
• Beth Crotty, NP

• Medical Physician Assistant in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Medical Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; 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.