Active NPI
Shantoya Renee Ward
- Community Health Worker
- Norfolk, VA
National Provider Identifier
1811672876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 520 W 21St St Ste J2
Norfolk, VA 23517-0017 - Phone
- (917) 751-6911
- NPI assigned
- Jun 19, 2023
- Last updated
- Apr 25, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | NU | ||
| Adult Companion | 372600000X | NU | ||
| Home Health Aide | 374U00000X | NU | ||
| Community Health Worker | 172V00000X | NU | Primary |
Addresses
Primary practice location
520 W 21St St Ste J2
Norfolk, VA 23517-0017
Mailing address
520 W 21St St Ste J2
Norfolk, VA 23517-0017
Phone (757) 762-0282
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Norfolk Nexit, Inc | Current | Accepting new patients |
Locations
520 W 21st St
Ste J2
Norfolk, VA 23517
Phone (757) 762-0313
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.
-
dba Nexus Home, Inc
- Community/Behavioral Health Agency
- Norfolk, VA
- NPI 1235902628
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714003200000",
"number": "1811672876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 W 21ST ST STE J2",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235170017",
"telephone_number": "757-762-0282",
"fax_number": "757-290-1574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 W 21ST ST STE J2",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235170017",
"telephone_number": "917-751-6911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARD",
"first_name": "SHANTOYA",
"middle_name": "RENEE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-19",
"last_updated": "2024-04-25",
"certification_date": "2024-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.