NPIMap

Individual provider Active NPI

Shavonne I Mitchell, APRN

  • Family Nurse Practitioner
  • Virginia Beach, VA
National Provider Identifier
1942074026
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024187402 Issued in VA
Practice address
225 Clearfield Ave
Virginia Beach, VA 23462-1815
Phone
(757) 457-5100
NPI assigned
Nov 9, 2023
Last updated
Jan 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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 0024187402 VA Primary

Addresses

Primary practice location

225 Clearfield Ave
Virginia Beach, VA 23462-1815

Mailing address

225 Clearfield Ave
Virginia Beach, VA 23462-1815
Phone (757) 457-5100

Other practice location 1

533 Newtown Rd Ste 115
Virginia Beach, VA 23462-5758
Phone (757) 204-1901

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240327000366 VA Practitioner - Nurse Practitioner 5890132716 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Urology of Virginia, PLLCGroup PAC ID 2062681679, 74 clinicians

Practice addresses (Care Compare)

229 Clearfield Ave
Suite 300
Virginia Beach, VA 23462-1815
Phone (757) 457-5177

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024187402VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integral Health & Wellness Family CurrentSince Nov 1, 2023 Accepting new patients
Urology of Virginia, PLLC CurrentSince Jan 29, 2024 Accepting new patients
Urology of Virginia, PLLC CurrentSince Jan 29, 2024 Accepting new patients
Renewed Mind Wellness Iop LLC PastSince Nov 1, 2023 Accepting new patients

Locations

225 Clearfield Ave
Virginia Beach, VA 23462
Phone (757) 452-3459

533 Newtown Rd
Ste 115
Virginia Beach, VA 23462
Phone (757) 204-1901

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22175/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1699488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1942074026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 CLEARFIELD AVE",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234621815",
            "telephone_number": "757-457-5100",
            "fax_number": "757-961-3696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 CLEARFIELD AVE",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234621815",
            "telephone_number": "757-457-5100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "533 Newtown Rd Ste 115",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234625758",
            "country_code": "US",
            "telephone_number": "757-204-1901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "SHAVONNE",
        "middle_name": "I",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-09",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024187402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.