Shannon Winston, MS, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

0126000136 Issued in VA

Practice address

103 N Mooreland Rd
Richmond, VA 23229-7709

Phone

(804) 754-1558

NPI assigned

Dec 14, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1355443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355443200000",
    "number": "1699011965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 N MOORELAND RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232297709",
            "telephone_number": "804-754-1558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 N MOORELAND RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232297709",
            "telephone_number": "804-754-1558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINSTON",
        "first_name": "SHANNON",
        "credential": "MS, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-14",
        "last_updated": "2012-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VA",
            "license": "0126000136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dollnita M. Winston
• Donald Baxter Winston, CRNA
• Kathryn Winston
• Nicole R Winston
• Shakeyia Winston, MSW
• Darryn Leslie Winter, DO
• Emily Winter, PT, DPT
• Joan Winter, LCSW,ED.S.
• Victoria Heather Winter I
• Kerryanne V Winters

• Athletic Trainer in Richmond, VA
• Providers in Richmond, VA by specialty
• Athletic Trainer in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.