Individual provider Active NPI

Shaniqua Pinard

  • Registered Nurse
  • Virginia Beach, VA
National Provider Identifier
1427074962
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
0001264575 Issued in VA
Practice address
1936 Sun Valley Dr
Virginia Beach, VA 23464-7420
Phone
(757) 769-1177
Fax
(757) 276-0077
NPI assigned
Jul 15, 2006
Last updated
Feb 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 0001264575 VA Primary

Addresses

Primary practice location

1936 Sun Valley Dr
Virginia Beach, VA 23464-7420

Mailing address

1936 Sun Valley Dr
Virginia Beach, VA 23464-7420
Phone (757) 776-9162

Other names 1

  • Shaniqua Burke Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0001264575VAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Our Loving Abode CurrentSince Oct 23, 2022 Accepting new patients
Our Loving Abode CurrentSince Oct 23, 2022 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1427074962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1936 SUN VALLEY DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234647420",
            "telephone_number": "757-776-9162",
            "fax_number": "212-316-7945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1936 SUN VALLEY DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234647420",
            "telephone_number": "757-769-1177",
            "fax_number": "757-276-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINARD",
        "first_name": "SHANIQUA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-15",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001264575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANIQUA",
            "last_name": "BURKE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; 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.