SHC Medical Partners of Virginia, LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

SHC MEDICAL PARTNERS OF VIRGINIA, LLC

Practice address

1005 Hampton Blvd
Norfolk, VA 23507-1505

Phone

(757) 623-5602

Fax

(757) 623-4646

NPI assigned

Jan 13, 2016

Organization subpart

No

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

Authorized official

Name

Penny Logan

Title

VP of Operations

Phone

(502) 558-2193

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1452643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452643200000",
    "number": "1851757355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12201 BLUEGRASS PKWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402992361",
            "telephone_number": "502-568-7364",
            "fax_number": "502-568-7136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 HAMPTON BLVD",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235071505",
            "telephone_number": "757-623-5602",
            "fax_number": "757-623-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHC MEDICAL PARTNERS OF VIRGINIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-13",
        "last_updated": "2016-01-13",
        "status": "A",
        "authorized_official_last_name": "LOGAN",
        "authorized_official_first_name": "PENNY",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "502-558-2193"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Shatto
• Mark E Shaves, MD
• Alexa Pitts Shaw, MD
• Mae McAlister Shaw, PA-C
• Ryan C Shaw, PA
• Ashleigh Virginia Shea, DPT
• Caroline Sheehan, NNP-BC, MSN, RN
• Sequoia Javan Sheely, MD
• Emily Sheetz
• Sheila H Gordon LCSW PC

• Nurse Practitioner in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; 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.