Individual provider Active NPI

Shawna R. Crites, RN

  • Registered Nurse
  • Moorefield, WV
National Provider Identifier
1902032337
Registry record updated May 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
55073 Issued in WV
Practice address
411 Spring Ave.
Suite 101
Moorefield, WV 26836
Phone
(304) 530-6355
Fax
(304) 530-7684
NPI assigned
May 29, 2009
Last updated
May 29, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 55073 WV Primary

Addresses

Primary practice location

411 Spring Ave.
Suite 101
Moorefield, WV 26836

Mailing address

411 Spring Ave.
Suite 101
Moorefield, WV 26836
Phone (304) 530-6355

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
55073WVMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1243555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243555200000",
    "number": "1902032337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 SPRING AVE.",
            "address_2": "SUITE 101",
            "city": "MOOREFIELD",
            "state": "WV",
            "postal_code": "26836",
            "telephone_number": "304-530-6355",
            "fax_number": "304-530-7684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 SPRING AVE.",
            "address_2": "SUITE 101",
            "city": "MOOREFIELD",
            "state": "WV",
            "postal_code": "26836",
            "telephone_number": "304-530-6355",
            "fax_number": "304-530-7684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRITES",
        "first_name": "SHAWNA",
        "middle_name": "R.",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-29",
        "last_updated": "2009-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WV",
            "license": "55073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorefield, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2009; 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.