Delisa Stanfill Showers, AGPCNP BC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

0024171994 Issued in VA

Practice address

1117 Breezewood LN
Henrico, NC 27842-8907

Phone

(540) 718-9442

NPI assigned

Aug 25, 2014

Last updated

Jul 16, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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

Nurse Practitioner

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

{
    "created_epoch": "1408924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689465600000",
    "number": "1447650627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 BREEZEWOOD LN",
            "city": "HENRICO",
            "state": "NC",
            "postal_code": "278428907",
            "telephone_number": "540-718-9442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 BREEZEWOOD LN",
            "city": "HENRICO",
            "state": "NC",
            "postal_code": "278428907",
            "telephone_number": "540-718-9442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOWERS",
        "first_name": "DELISA",
        "middle_name": "STANFILL",
        "credential": "AGPCNP BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-25",
        "last_updated": "2023-07-16",
        "certification_date": "2023-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0024171994",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "VA",
            "license": "0024171994",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Robert Braswell, M.A., LPA
• Annie Baker Johnson, LPTA
• Roanoke Valley Health Services Inc (Wildwood Medical Clinic)
• Alyssa Snyder, PA-C

• Adult Health Nurse Practitioner in Henrico, NC
• Providers in Henrico, NC by specialty
• Adult Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2023; 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.