Shauna Stupart, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0101239167 Issued in VA

Practice address

9501 Farrell Road
Fort Belvoir, VA 22060

Phone

(703) 805-0642

NPI assigned

Jun 22, 2006

Last updated

Jul 21, 2022By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1730125295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1439",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208301439",
            "telephone_number": "202-483-8196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9501 FARRELL ROAD",
            "city": "FORT BELVOIR",
            "state": "VA",
            "postal_code": "22060",
            "telephone_number": "703-805-0642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUPART",
        "first_name": "SHAUNA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A81014",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101239167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly R Stoner, LCSW
• John Peter Storz, D.M.D.
• Jennifer Mary Strang, PH.D.
• Jackson Stromberg
• Robert Henry Strunk
• Ryung Suh, MD
• Edward Sun
• Sundace Rehabilitation
• Sundance Rehabilition
• Lauren Suszan, CRNA

• Family Medicine Physician in Fort Belvoir, VA
• Providers in Fort Belvoir, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.