Kelly Joan Shiei, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0110006539 Issued in VA

Practice address

9001 Digges Rd Ste 105
Manassas, VA 20110-4414

Phone

(703) 369-5000

Fax

(703) 369-5003

NPI assigned

May 1, 2019

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

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Privia Medical Group, LLC

  • Internal Medicine Physician
  • Arlington, VA
  • NPI 1013042480
  Medicare reassignment NPD
• Northern Virginia Family Medicine, PC

  • Health Service Clinic/Center
  • Manassas, VA
  • NPI 1215197025
  Medicare reassignment
• Privia Medical Group, LLC

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Rockville, MD
  • NPI 1811715436
  NPD

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

{
    "created_epoch": "1556668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627430400000",
    "number": "1538724901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43006 CENTER ST",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201522035",
            "telephone_number": "571-228-4695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9001 DIGGES RD STE 105",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104414",
            "telephone_number": "703-369-5000",
            "fax_number": "703-369-5003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIEI",
        "first_name": "KELLY",
        "middle_name": "JOAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-01",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110006539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Sheffield
• Rozaleen S Shehata Nakhla
• Sheila Rao DDS PLC
• Gracie Alaine Shelby, FNP-BC
• Sheridan Childrens Healthcare Services of Virginia Inc
• Takara Shinard
• Atinuke Shoaga, MD
• Suanne Shocket, PSY.D.
• Katherine Sholl
• Shreenathji, LLC

• Physician Assistant in Manassas, VA
• Providers in Manassas, VA by specialty
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; 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.