Shannon Haskins
Individual provider Active NPI Occupational Therapist · Chatham, VA
NPI 1467967778 · NPPES record last updated Dec 8, 2017
Key facts
- NPI
- 1467967778
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 0119002883 (VA)
- Practice address
- 39 Bank St
Chatham, VA 24531-1129 - Phone
- (434) 432-2761
- NPI assigned
- Dec 8, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0119002883 | VA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pittsylvania County Schools | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 0119002883 | VA | Yes |
Addresses
Primary practice location
39 Bank St
Chatham, VA 24531-1129
Mailing address
39 Bank St
Chatham, VA 24531-1129
Phone (434) 432-2761
Other providers in Chatham, VA
- Kevin Gilley
- Tangela Stephanie Hairston
- Zachary Harrelson
- Alesha Stone Harris
- Courtney Mustain Haskins
- Cortney Lewis Herndon
- Jacquese Hinton
- Taylor Hite
- Allison Lindsey Howell
- Kayla McGuire Johnson
All providers in Chatham, VA · Occupational Therapist in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 8, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.