Sandra Kathryn Shockey, APRN (C/NP)

Primary specialty

Ambulatory Care Registered NurseTaxonomy code 163WP2201X

License

38437 Issued in WV

Practice address

800 Grand Central Mall
Suite 11
Vienna, WV 26105-4100

Phone

(304) 916-1270

Fax

(304) 916-1274

NPI assigned

Aug 27, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Alliance Xpress Care LLC

  • Urgent Care Clinic/Center
  • Covington, VA
  • NPI 1124415799
  Medicare reassignment NPD
• Taylored Life Care

  • Health Service Clinic/Center
  • Moorefield, WV
  • NPI 1588241467
  NPD Authorized official
• Wvva Health Care Alliance, PC

  • Internal Medicine Physician
  • Low Moor, VA
  • NPI 1255371993
  NPD (past)

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

{
    "created_epoch": "1251331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548115200000",
    "number": "1679706469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2507 27TH ST",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261042720",
            "telephone_number": "304-893-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 GRAND CENTRAL MALL",
            "address_2": "SUITE 11",
            "city": "VIENNA",
            "state": "WV",
            "postal_code": "261054100",
            "telephone_number": "304-916-1270",
            "fax_number": "304-916-1274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOCKEY",
        "first_name": "SANDRA",
        "middle_name": "KATHRYN",
        "name_prefix": "Ms.",
        "credential": "APRN (C/NP)",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-27",
        "last_updated": "2019-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "WV",
            "license": "38437",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "38437",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Dean Sells, DPT
• Adriana D Sevy, PA-C
• Parul Shah
• Dylan Shell
• Morgan Sherman
• Jill Kristine Showalter, O.D.
• Michael Shramowiat, LLC
• Kevin Shrewsbury, DPT
• Kristen Simers
• Hazel Levina Simmons

• Ambulatory Care Registered Nurse in Vienna, WV
• Providers in Vienna, WV by specialty
• Ambulatory Care Registered Nurse in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.