Individual provider Active NPI

Shauna Belcourt, NP

  • Family Nurse Practitioner
  • Fredericksburg, VA
National Provider Identifier
1548799471
Registry record updated Oct 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024174892 Issued in VA
Practice address
4550 Empire CT
Fredericksburg, VA 22408-1939
Phone
(540) 361-4779
NPI assigned
Jun 5, 2017
Last updated
Oct 9, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024174892 VA Primary

Addresses

Primary practice location

4550 Empire CT
Fredericksburg, VA 22408-1939

Mailing address

20 Brasstown Way
Beaufort, SC 29906-6035
Phone (843) 812-5912

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
PL Pediatrics, PLLC CurrentSince Jul 12, 2017 Accepting new patients

Locations

4550 Empire Ct
Fredericksburg, VA 22408
Phone (540) 361-1800

Organizations & group practices 1

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": "1496620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507507200000",
    "number": "1548799471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 BRASSTOWN WAY",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299066035",
            "telephone_number": "843-812-5912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 EMPIRE CT",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224081939",
            "telephone_number": "540-361-4779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELCOURT",
        "first_name": "SHAUNA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-05",
        "last_updated": "2017-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024174892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.