Individual provider Active NPI

Karen E. Shelton, M.D., FACOG

  • Public Health & General Preventive Medicine Physician
  • Marion, VA
National Provider Identifier
1619926680
Registry record updated Jun 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
License
0101260180 Issued in VA
Practice address
201 Francis Marion LN
District Office, 2ND Floor
Marion, VA 24354-4227
Phone
(276) 781-7450
Fax
(276) 781-7455
NPI assigned
May 8, 2006
Last updated
Jun 15, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 29105 TN
Public Health & General Preventive Medicine Physician 2083P0901X 0101260180 VA Primary

Addresses

Primary practice location

201 Francis Marion LN
District Office, 2ND Floor
Marion, VA 24354-4227

Mailing address

201 Francis Marion LN
District Office, 2ND Floor
Marion, VA 24354-4227
Phone (276) 781-7450

Other identifiers 1

IdentifierTypeStateIssuer
006210619MedicaidVA

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160829000095 VA Practitioner - Obstetrics/Gynecology 6103018874 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
29105TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth of Virginia State Board of Health Current Accepting new patients
Commonwealth of Virginia State Board of Health Current Accepting new patients
Commonwealth of Virginia State Board of Health Current Accepting new patients
Commonwealth of Virginia State Board of Health Current Accepting new patients
Commonwealth of Virginia State Board of Health CurrentSince Jun 25, 2016 Accepting new patients

Locations

341 Piedmont Ave
Bristol, VA 24201
Phone (276) 642-7335

502 S Main St
Galax, VA 24333
Phone (276) 236-6127

109 Governor St
Fl 13
Richmond, VA 23219
Phone (804) 864-7009

290 S 6th St
Ste 300
Wytheville, VA 24382
Phone (276) 228-5507

Organizations & group practices 5

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": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465948800000",
    "number": "1619926680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 FRANCIS MARION LN",
            "address_2": "DISTRICT OFFICE, 2ND FLOOR",
            "city": "MARION",
            "state": "VA",
            "postal_code": "243544227",
            "telephone_number": "276-781-7450",
            "fax_number": "276-781-7455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 FRANCIS MARION LN",
            "address_2": "DISTRICT OFFICE, 2ND FLOOR",
            "city": "MARION",
            "state": "VA",
            "postal_code": "243544227",
            "telephone_number": "276-781-7450",
            "fax_number": "276-781-7455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "KAREN",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "M.D., FACOG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-08",
        "last_updated": "2016-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "29105",
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "VA",
            "license": "0101260180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006210619",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, VA

Sources for this page

Verify at the official NPI Registry.