Shasta Mitchell-Holston, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024176097 Issued in VA

Practice address

3636 High St
Portsmouth, VA 23707

Phone

(757) 398-2285

NPI assigned

Apr 28, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Shasta Mitchell Other name

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

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

First Choice Anderson FNP LLCGroup PAC ID 0446658736, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: smitchellholston245346@direct.bsmhealth.org

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.

• First Choice Anderson FNP LLC

  • Adult Health Nurse Practitioner
  • Suffolk, VA
  • NPI 1538775697
  Medicare reassignment Care Compare group NPD
• Bon Secours Medical Group Hampton Roads Specialty Care LLC

  • Cardiovascular Disease Physician
  • Richmond, VA
  • NPI 1629637475
  Medicare reassignment NPD
• Bon Secours Medical Group Hampton Roads Specialty Care LLC

  • Durable Medical Equipment & Medical Supplies
  • Franklin, VA
  • NPI 1205451028
  NPD

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

{
    "created_epoch": "1398643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536105600000",
    "number": "1881004901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36550 CHESTER RD",
            "address_2": "5404",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440111091",
            "telephone_number": "216-526-2214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3636 HIGH ST",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "23707",
            "telephone_number": "757-398-2285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL-HOLSTON",
        "first_name": "SHASTA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-28",
        "last_updated": "2018-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024176097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHASTA",
            "last_name": "MITCHELL",
            "credential": "NP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Michael Thomas Miozzi, IDHS
• Miracle Hands LLC
• Mark F Miranda, MD
• Adeesh Mishra, MD/MBA
• Missbe Home Healthcare
• Akylah Caress Mitchell
• Allen Mitchell, MD
• Anthony C Mitchell, MD
• Deborah E Mitchell, LMSW
• Jimmy Travis Mitchell, DO

• Family Nurse Practitioner in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.