Individual provider Active NPI

Shaquita I. Alexander, FNP-C

  • Family Nurse Practitioner
  • Richmond, VA
National Provider Identifier
1659861961
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024176113 Issued in VA
Practice address
1201 Broad Rock Blvd Women's Health/Primary Care
Richmond, VA 23249-8315
Phone
(804) 675-5000
NPI assigned
May 11, 2018
Last updated
Aug 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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 0024176113 VA Primary

Addresses

Primary practice location

1201 Broad Rock Blvd Women's Health/Primary Care
Richmond, VA 23249-8315

Mailing address

6204 Crowne Creek Dr Apt 203
Midlothian, VA 23112-8315
Phone (857) 334-6475

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
I20211214000288 DC Practitioner - Nurse Practitioner 1153711775 Reassigns benefits to 1 organization
I20211220001384 VA Practitioner - Nurse Practitioner 1153711775 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024176113VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic of Virginia LLC Family CurrentSince Sep 30, 2021 Accepting new patients

Locations

1636 Belle View Blvd
Alexandria, VA 22307
Phone (703) 703-7687

19305 Ruby Dr
Leesburg, VA 20176
Phone (571) 333-5918

1452 Chain Bridge Rd
McLean, VA 22101
Phone (703) 307-8235

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": "1525996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1659861961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6204 CROWNE CREEK DR APT 203",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231128315",
            "telephone_number": "857-334-6475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 BROAD ROCK BLVD WOMEN'S HEALTH/PRIMARY CARE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232498315",
            "telephone_number": "804-675-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "SHAQUITA",
        "middle_name": "I.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-11",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024176113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.