Active NPI
Shannon Prince Glaws, PA-C
- Physician Assistant
- Sterling, VA
National Provider Identifier
1649582131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110003316
- Practice address
- 21475 Ridgetop Cir Ste 150
Sterling, VA 20166-6580 - Phone
- (703) 444-5000
- Fax
- (703) 444-4999
- NPI assigned
- Jul 13, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0110003316 | VA | Primary |
Addresses
Primary practice location
21475 Ridgetop Cir Ste 150
Sterling, VA 20166-6580
Mailing address
21475 Ridgetop Cir
Ste 150
Sterling, VA 20166-6580
Phone (703) 444-5000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | shannon.glaws.p1@direct.tsiva.nextgenshare.com | Health Information Exchange (HIE) | ARTHRITIS & SPORTS ORTHOPAEDICS PC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
21475 Ridgetop Cir
Sterling, VA 20166-6580
Phone 7034445000117
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618358400000",
"number": "1649582131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21475 RIDGETOP CIR",
"address_2": "STE 150",
"city": "STERLING",
"state": "VA",
"postal_code": "201666580",
"telephone_number": "703-444-5000",
"fax_number": "703-444-4999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21475 RIDGETOP CIR STE 150",
"city": "STERLING",
"state": "VA",
"postal_code": "201666580",
"telephone_number": "703-444-5000",
"fax_number": "703-444-4999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLAWS",
"first_name": "SHANNON",
"middle_name": "PRINCE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-13",
"last_updated": "2021-04-14",
"certification_date": "2021-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110003316",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "shannon.glaws.p1@direct.tsiva.nextgenshare.com",
"affiliation": "Y",
"affiliationName": "ARTHRITIS & SPORTS ORTHOPAEDICS PC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "21475 Ridgetop Cir Ste 150",
"city": "Sterling",
"state": "VA",
"country_code": "US",
"postal_code": "201666580",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Sterling, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.