Shawn Renea Small Sanders, ANPBC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

0024167547 Issued in VA

Practice address

1000 Sam Perry Blvd
Mary Washington Hospital
Fredericksburg, VA 22406

Phone

(540) 741-1323

Fax

(540) 741-7263

NPI assigned

Jul 18, 2008

Last updated

Aug 9, 2012By the provider in NPPES

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 identifiers 4

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, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oracle Heart and Vascular IncGroup PAC ID 5890926075, 21 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DFHEAD
• Direct secure messaging: ssmallsanders34565@carelonhealth.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Oracle Heart & Vascular, Inc.

  • Interventional Cardiology Physician
  • Fredericksburg, VA
  • NPI 1972924520
  Medicare reassignment Care Compare group NPD
• Carelon Medical Partners, PC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Nashville, TN
  • NPI 1124443403

  Nurse Practitioner, VA

  Medicare reassignment NPD
• Mary Washington Healthcare Specialty Services LLC

  • Anesthesiology Physician
  • Fredericksburg, VA
  • NPI 1821033010
  NPD (past)

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

{
    "created_epoch": "1216339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344470400000",
    "number": "1902061930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 SAM PERRY BLVD",
            "address_2": "MARY WASHINGTON HOSPITAL",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "22406",
            "telephone_number": "540-741-1323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 SAM PERRY BLVD",
            "address_2": "MARY WASHINGTON HOSPITAL",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "22406",
            "telephone_number": "540-741-1323",
            "fax_number": "540-741-7263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALL SANDERS",
        "first_name": "SHAWN",
        "middle_name": "RENEA",
        "name_prefix": "Mrs.",
        "credential": "ANPBC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-18",
        "last_updated": "2012-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024167547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "540896390",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA",
            "identifier": "1902061930",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902061930",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER",
            "identifier": "305008",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gary Michael Slavinsky, MT-BC
• Sleep Disorder Center of Fredericksburg PLC
• SLJS, Inc. (Steve Spratt Improvements)
• Geoffrey D Sloan, MD
• William Dale Slovak, LICENSED OPTICIAN
• Smart Prime Care Provider PLLC (Smart Prime Care)
• Samuel C Smart, DOCTOR OF OPTOMETRY
• Smile Co FXBG Dentistry, PC
• Smileville PLLC (Reform Dentistry)
• Lavonna Smith-Tyler

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2012; 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.