Individual provider Active NPI

Shannon Marie Dechant, FNP, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Forest, VA
National Provider Identifier
1932639259
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024174954 Issued in VA
Practice address
2007 Graves Mill Rd
Forest, VA 24551-2656
Phone
(434) 385-8948
NPI assigned
Jun 19, 2017
Last updated
Mar 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024174954 VA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024174954 VA Primary

Addresses

Primary practice location

2007 Graves Mill Rd
Forest, VA 24551-2656

Mailing address

2007 Graves Mill Rd
Forest, VA 24551-2656
Phone (434) 385-8948

Other practice location 1

2624 Southern Blvd Ste 102
Virginia Beach, VA 23452-7433
Phone (757) 453-1256 ext. 1002

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20170724000414 VA Practitioner - Nurse Practitioner 6507136603 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Women's Health Services of Central Virginia, Inc. CurrentSince Jul 5, 2017 Accepting new patients
Brookside Psychiatric Specialists PLLC Psychiatric/Mental Health PastSince Feb 11, 2024 Accepting new patients

Locations

114 Nationwide Dr
Lynchburg, VA 24502
Phone (434) 237-7890

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1497830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1932639259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2007 GRAVES MILL RD",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "245512656",
            "telephone_number": "434-385-8948",
            "fax_number": "434-200-1674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2007 GRAVES MILL RD",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "245512656",
            "telephone_number": "434-385-8948"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2624 Southern Blvd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234527433",
            "country_code": "US",
            "telephone_number": "757-453-1256 x1002",
            "fax_number": "319-359-3813",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DECHANT",
        "first_name": "SHANNON",
        "middle_name": "MARIE",
        "credential": "FNP, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-19",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024174954",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024174954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest, VA

Sources for this page

Verify at the official NPI Registry.