Teresa Ann Shively, BSN

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

0001149341 Issued in VA

Practice address

8850 Richmond Hwy Ste 202
Alexandria, VA 22309-1586

Phone

(703) 704-7004

NPI assigned

Aug 24, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing

State licenses

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740397983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1649 HUNTING CREEK DR",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223146219",
            "telephone_number": "703-704-6199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8850 RICHMOND HWY STE 202",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223091586",
            "telephone_number": "703-704-7004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIVELY",
        "first_name": "TERESA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "BSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "VA",
            "license": "0001149341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSING LICENSE",
            "identifier": "0001149341",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eyerusalem Shimeles
• Irene Shin, DDS
• Michelle Mihee Shin
• Leon G Shingledecker, DPM
• Dana Taylor Shively, MD
• Lindsay Shmatov, FNP
• Rokhsareh Sarah Shoaee
• Shobha Chidambaram, MD, PC
• Leah Shoemaker, PT
• Jeannette Cazares Shooshtari

• Case Management Registered Nurse in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Case Management Registered Nurse in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.