Shannon Devaughn Bail

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

2306603026 Issued in VA

Practice address

3750 Sentara Way
Virginia Beach, VA 23452-4200

Phone

(757) 901-1580

NPI assigned

Nov 3, 2020

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1396346771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 SENTARA WAY",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234524200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 SENTARA WAY",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234524200",
            "telephone_number": "757-901-1580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAIL",
        "first_name": "SHANNON",
        "middle_name": "DEVAUGHN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-03",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "VA",
            "license": "2306603026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Bagdonaite Bejarano, M.D.
• Rachel Bagley
• Colleen Denise Bagonyi, BCBA
• Ahmed Aboud Bahagry, CRNA
• Jinah Baik
• Mary Ann Bailey Henry, LCSW
• Brittany Sharp Bailey
• Camilla Bailey
• Cornell Daniel Bailey
• Evelyn Bailey, APN

• Physical Medicine & Rehabilitation Physician in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Physical Medicine & Rehabilitation Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; 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.