Active NPI
Shunaka Grayson White, OTR/L, CAPS, ECHM
- Occupational Therapist
- Stafford, VA
National Provider Identifier
1679721039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0119006450
- Practice address
- 532 Gladiola Way
Stafford, VA 22554-6848 - Phone
- (202) 696-0634
- Fax
- (540) 657-3664
- NPI assigned
- Aug 28, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 0119006450 | VA | Primary |
| Occupational Therapist | 225X00000X | 3551 | TN |
Addresses
Primary practice location
532 Gladiola Way
Stafford, VA 22554-6848
Mailing address
532 Gladiola Way
Stafford, VA 22554-6848
Phone (202) 696-0634
Other names 1
- Ms. Shunaka Trenise Grayson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0119006450 | VA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742601600000",
"number": "1679721039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "532 GLADIOLA WAY",
"city": "STAFFORD",
"state": "VA",
"postal_code": "225546848",
"telephone_number": "202-696-0634",
"fax_number": "540-657-3664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "532 GLADIOLA WAY",
"city": "STAFFORD",
"state": "VA",
"postal_code": "225546848",
"telephone_number": "202-696-0634",
"fax_number": "540-657-3664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "SHUNAKA",
"middle_name": "GRAYSON",
"name_prefix": "Mrs.",
"credential": "OTR/L, CAPS, ECHM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-28",
"last_updated": "2025-03-22",
"certification_date": "2025-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "VA",
"license": "0119006450",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TN",
"license": "3551",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHUNAKA",
"last_name": "GRAYSON",
"middle_name": "TRENISE",
"prefix": "MS.",
"credential": "OTR/L, CAPS, ECHM",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Stafford, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.