Individual provider Active NPI

Nancy A. Okoth-Shaw, APRN, FNP-C

  • Family Nurse Practitioner
  • Colonial Heights, VA
National Provider Identifier
1861349136
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024194970 Issued in VA
Practice address
436 Clairmont CT
Colonial Heights, VA 23834-1765
Phone
(804) 526-2121
Fax
(804) 504-4634
NPI assigned
Mar 14, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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 0024194970 VA Primary

Addresses

Primary practice location

436 Clairmont CT
Colonial Heights, VA 23834-1765

Mailing address

436 Clairmont CT
Colonial Heights, VA 23834-1765
Phone (804) 526-2121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4600 McAuley PL
Blue Ash, OH 45242-4765

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024194970VAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1773446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1861349136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 CLAIRMONT CT",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238341765",
            "telephone_number": "804-526-2121",
            "fax_number": "804-504-4634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 CLAIRMONT CT",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238341765",
            "telephone_number": "804-526-2121",
            "fax_number": "804-504-4634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKOTH-SHAW",
        "first_name": "NANCY",
        "middle_name": "A.",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-14",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024194970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colonial Heights, VA

Sources for this page

Verify at the official NPI Registry.