NPIMap

Individual provider Active NPI

Shannon N Scearce, DNP, FNP-C

  • Family Nurse Practitioner
  • Halifax, VA
National Provider Identifier
1407957095
Registry record updated Jul 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024167115 Issued in VA
Practice address
235 N Main St
Halifax, VA 24558-2995
Phone
(434) 830-2605
NPI assigned
Sep 26, 2006
Last updated
Jul 6, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 002467115 VA
Family Nurse Practitioner 363LF0000X 0024167115 VA Primary

Addresses

Primary practice location

235 N Main St
Halifax, VA 24558-2995

Mailing address

235 N Main St
Halifax, VA 24558-2995
Phone (434) 830-2605

Other identifiers 2

IdentifierTypeStateIssuer
0024167115OtherVAVA NP LICENSE
010342066MedicaidVA

Other names 1

  • Shannon Epps Runion Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070319000432 VA Practitioner - Nurse Practitioner 9032212741 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Virginia Commonwealth University, School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

235 N Main St
Halifax, VA 24558-2995
Phone (434) 830-2605

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
002467115VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
White Oak Primary Care, Inc. CurrentSince Oct 16, 2019 Accepting new patients
Halifax Clinic Inc PastSince Feb 23, 2020 Accepting new patients
Danville Urologic Clinic Inc Past Accepting new patients
Piedmont Day Surgery Center Inc Past Accepting new patients

Locations

235 N Main St
Halifax, VA 24558
Phone (434) 476-7455

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FDCACD/Endpoint/FDCACD

Organizations & group practices 4

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593993600000",
    "number": "1407957095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 N MAIN ST",
            "city": "HALIFAX",
            "state": "VA",
            "postal_code": "245582995",
            "telephone_number": "434-830-2605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 N MAIN ST",
            "city": "HALIFAX",
            "state": "VA",
            "postal_code": "245582995",
            "telephone_number": "434-830-2605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCEARCE",
        "first_name": "SHANNON",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "002467115",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024167115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA NP LICENSE",
            "identifier": "0024167115",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010342066",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "RUNION",
            "middle_name": "EPPS",
            "credential": "MSN, FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Halifax, VA

Sources for this page

Verify at the official NPI Registry.