Shenandoah Pain and Palliative Care Clinic, LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

SHENANDOAH PAIN AND PALLIATIVE CARE CLINIC, LLC

Practice address

173 E Springbrook Rd
Broadway, VA 22815-9526

Phone

(540) 901-7028

Fax

(540) 901-2599

NPI assigned

Dec 17, 2019

Last updated

May 13, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tabitha Garrison, NPNPI 1205990983

Title

Owner

Phone

(540) 901-7028

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20899/brand/1/csg/1/fhir/r4

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tabitha T Garrison, FNP

  • Pain Medicine Physician
  • Broadway, VA
  • NPI 1205990983
  Medicare reassignment Care Compare group NPD Authorized official
• Christy Ann Andrews, NURSE PRACTITIONER

  • Adult Health Nurse Practitioner
  • Fishersville, VA
  • NPI 1942491865
  Medicare reassignment Care Compare group NPD
• Tina B Hahn, FNP

  • Family Nurse Practitioner
  • Bridgewater, VA
  • NPI 1932492949
  Medicare reassignment Care Compare group NPD
• Cheryl Leah Miller, FNP-C

  • Family Nurse Practitioner
  • Broadway, VA
  • NPI 1023748639
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1576540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747094400000",
    "number": "1659919017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 E SPRINGBROOK RD",
            "city": "BROADWAY",
            "state": "VA",
            "postal_code": "228159526",
            "telephone_number": "540-901-7028",
            "fax_number": "540-901-2599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 E SPRINGBROOK RD",
            "city": "BROADWAY",
            "state": "VA",
            "postal_code": "228159526",
            "telephone_number": "540-901-7028",
            "fax_number": "540-901-2599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHENANDOAH PAIN AND PALLIATIVE CARE CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-17",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A",
        "authorized_official_last_name": "GARRISON",
        "authorized_official_first_name": "TABITHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-901-7028",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin D Breeden LCSW PLC
• Rooted and Restored LLC
• Jane Reid See, ANP-C
• Shenandoah Counseling LLC
• Shenandoah Family Therapy LLC
• Nelson Showalter
• Whitney R Simmons, PA
• Springbrook Family Medicine
• Jeanne Marie Stutzman, MEDICAID WAIVER RESI
• Kristee Jo Rosenow Trumbo, LPC

• Nurse Practitioner in Broadway, VA
• Providers in Broadway, VA by specialty
• Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.