Individual provider Active NPI

Lauren Ashley Kay Shanholtz, NP

  • Nurse Practitioner
  • Winchester, VA
National Provider Identifier
1801623699
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024192301 Issued in VA
Practice address
514 Amherst St
Winchester, VA 22601-3802
Phone
(540) 667-4499
NPI assigned
Sep 17, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024192301 VA Primary

Addresses

Primary practice location

514 Amherst St
Winchester, VA 22601-3802

Mailing address

514 Amherst St
Winchester, VA 22601-3802

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250408000009 VA Practitioner - Nurse Practitioner 6507380912 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Associates IncGroup PAC ID 2668415357, 6 clinicians

Practice addresses (Care Compare)

1514 Amherst St
Winchester, VA 22601-2803
Phone (540) 667-4499

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Associates Inc Dermatology CurrentSince Jan 13, 2025 Accepting new patients

Locations

1077 N Shenandoah Ave
#A
Front Royal, VA 22630
Phone (540) 635-0780

1514 Amherst St
Winchester, VA 22601
Phone (540) 667-4499

Interoperability endpoints

  • Direct secure messaging: laurenshanholtz25@dermmds.emadirect.md

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1726531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1801623699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 AMHERST ST",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226013802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 AMHERST ST",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226013802",
            "telephone_number": "540-667-4499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANHOLTZ",
        "first_name": "LAUREN",
        "middle_name": "ASHLEY KAY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-17",
        "last_updated": "2025-05-14",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024192301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

Verify at the official NPI Registry.