Individual provider Active NPI

Shana Razvillas, FNP

  • Family Nurse Practitioner
  • North Dighton, MA
National Provider Identifier
1831599786
Registry record updated Aug 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN269648 Issued in MA
Practice address
600 Old Somerset Ave
North Dighton, MA 02764-1824
Phone
(508) 824-7557
NPI assigned
Aug 28, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN269648 MA Primary

Addresses

Primary practice location

600 Old Somerset Ave
North Dighton, MA 02764-1824

Mailing address

600 Old Somerset Ave
North Dighton, MA 02764-1824
Phone (508) 824-7557

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20141105000817 MA Practitioner - Nurse Practitioner 6204058324 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors James and Kelly Hoye Partners in Family Care CurrentSince Sep 4, 2014 Accepting new patients

Locations

600 Old Somerset Ave
North Dighton, MA 02764
Phone (508) 822-1135

Interoperability endpoints

  • Direct secure messaging: shana.razvillas.1@11568.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1409184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409184000000",
    "number": "1831599786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 OLD SOMERSET AVE",
            "city": "NORTH DIGHTON",
            "state": "MA",
            "postal_code": "027641824",
            "telephone_number": "508-824-7557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 OLD SOMERSET AVE",
            "city": "NORTH DIGHTON",
            "state": "MA",
            "postal_code": "027641824",
            "telephone_number": "508-824-7557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAZVILLAS",
        "first_name": "SHANA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-28",
        "last_updated": "2014-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN269648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Dighton, MA

Sources for this page

Verify at the official NPI Registry.