Shawn L Burrow, NP-C

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

0024169970 Issued in VA

Practice address

24 S Adams St
Petersburg, VA 23803

Phone

(804) 732-0372

Fax

(804) 732-3435

NPI assigned

Jul 15, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Professional Health Care, Inc.

  • Specialist
  • Petersburg, VA
  • NPI 1083754790
  NPD (past)

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

{
    "created_epoch": "1247616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549756800000",
    "number": "1548490337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3012 APPLEFORD DR",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238318801",
            "telephone_number": "804-677-4719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 S ADAMS ST",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "23803",
            "telephone_number": "804-732-0372",
            "fax_number": "804-732-3435"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1250 E Marshall St",
            "address_2": "Dermatology",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232985051",
            "country_code": "US",
            "telephone_number": "804-560-8991",
            "fax_number": "804-560-8993",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURROW",
        "first_name": "SHAWN",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-15",
        "last_updated": "2019-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "VA",
            "license": "0024169970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED NURSE PRACTITIONER",
            "identifier": "0024169970",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE",
            "identifier": "0001119878",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Building a Better Youth LLC
• Building Better Lives Community Services
• Building Our Youth LLC
• Shirron Dobie Bullock
• Jocelyn L Burls, NP-C
• Baroness B Butler, LCSW
• Butterfly Horizon LLC
• Butterfly Sponsored Residential LLC
• William Lenwood Byrd
• James D. Byrne, M.D.

• Primary Care Nurse Practitioner in Petersburg, VA
• Providers in Petersburg, VA by specialty
• Primary Care Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2019; 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.