Individual provider Active NPI

Shannon Eileen Ferraro, FNP-C, ARNP

  • Family Nurse Practitioner
  • Fairfax, VA
National Provider Identifier
1548848583
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11018152 Issued in FL
Practice address
3975 Fair Ridge Dr Ste 125
Fairfax, VA 22033-2911
Phone
(703) 259-8423
Fax
(703) 259-8424
NPI assigned
Mar 31, 2021
Last updated
Aug 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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 11018152 FL Primary

Addresses

Primary practice location

3975 Fair Ridge Dr Ste 125
Fairfax, VA 22033-2911

Mailing address

2116 Bobbyber Dr
Vienna, VA 22182-4025
Phone (857) 204-8833

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240905004923 DC Practitioner - Nurse Practitioner 0244770147 Reassigns benefits to 2 organizations
I20250513000922 VA Practitioner - Nurse Practitioner 0244770147 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Georgetown University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid-South Home Care Services LLCGroup PAC ID 4385961093, 101 clinicians

Practice addresses (Care Compare)

Fairfax, VA 22033

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11018152FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-South Home Care Services, LLC CurrentSince Aug 26, 2024 Accepting new patients
Mid-South Home Care Services, LLC CurrentSince Jan 31, 2025 Accepting new patients
Inova Health Care Services CurrentSince Feb 9, 2026 Accepting new patients
Inova Health Care Services CurrentSince Feb 9, 2026 Accepting new patients
Inova Health Care Services CurrentSince Feb 9, 2026 Accepting new patients
Mid-South Home Care Services, LLC CurrentSince Aug 26, 2024 Accepting new patients

Locations

655 Brawley School Rd
Ste 200
Mooresville, NC 28117

3975 Fair Ridge Dr
Ste 1255
Fairfax, VA 22033
Phone (410) 202-0004

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040

Organizations & group practices 6

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": "1617148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1548848583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2116 BOBBYBER DR",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221824025",
            "telephone_number": "857-204-8833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3975 FAIR RIDGE DR STE 125",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220332911",
            "telephone_number": "703-259-8423",
            "fax_number": "703-259-8424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRARO",
        "first_name": "SHANNON",
        "middle_name": "EILEEN",
        "credential": "FNP-C, ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-31",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11018152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.