Individual provider Active NPI

Shandra Tyus

  • Family Nurse Practitioner
  • Chesapeake, VA
National Provider Identifier
1891296695
Registry record updated Feb 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024175913 Issued in VA
Practice address
816 Greenbrier Cir
Chesapeake, VA 23320-2642
Phone
(757) 436-2444
NPI assigned
Feb 27, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2018

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 0024175913 VA Primary

Addresses

Primary practice location

816 Greenbrier Cir
Chesapeake, VA 23320-2642

Mailing address

3629 Kenny LN
Portsmouth, VA 23703-2612

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240928000044 VA Practitioner - Nurse Practitioner 2860932027 Reassigns benefits to 1 organization
I20250625001704 KY Practitioner - Nurse Practitioner 2860932027 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dr King-Jones and AssociatesGroup PAC ID 6406899251, 9 clinicians

Practice addresses (Care Compare)

1403 Greenbrier Pkwy
Suite 200
Chesapeake, VA 23320-2876
Phone (757) 436-2444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vitale Psychiatric Current Accepting new patients
Dr King-Jones and Associates CurrentSince Oct 1, 2024 Accepting new patients
Theoria Medical CurrentSince Apr 13, 2025 Accepting new patients

Locations

100 Carmel Manor Dr
Fort Thomas, KY 41075
Phone (859) 781-5111

2344 Amsterdam Rd
Villa Hills, KY 41017
Phone (859) 341-3981

1403 Greenbrier Pkwy
Ste 200
Chesapeake, VA 23320
Phone (757) 436-2444

Organizations & group practices 3

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": "1519689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519689600000",
    "number": "1891296695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3629 KENNY LN",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237032612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 GREENBRIER CIR",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233202642",
            "telephone_number": "757-436-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYUS",
        "first_name": "SHANDRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-27",
        "last_updated": "2018-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024175913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.