Darrell Levern Shaw, CST/CSFA

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

SA0189 Issued in DC

Practice address

8116 Arlington Blvd Ste 183
Falls Church, VA 22042-1002

Phone

(703) 659-4557

Fax

(703) 205-9010

NPI assigned

May 30, 2017

Sex

Male

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1496102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496102400000",
    "number": "1942738323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8116 ARLINGTON BLVD STE 183",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220421002",
            "telephone_number": "703-659-4557",
            "fax_number": "703-205-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8116 ARLINGTON BLVD STE 183",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220421002",
            "telephone_number": "703-659-4557",
            "fax_number": "703-205-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "DARRELL",
        "middle_name": "LEVERN",
        "credential": "CST/CSFA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-30",
        "last_updated": "2017-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "DC",
            "license": "SA0189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NBSTSA",
            "identifier": "170342",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF HEALTH BOARD OF MEDICINE",
            "identifier": "SA0189",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Garima Vishwanath Sharma, MBBS
• Rishabh Sharma, PT
• Sunyana Sharma
• Vandana Raj Sharma, MD
• Satish Shashidhara, DO
• Kathleen Gem Shaw, PSYD
• Lisa M Shaw, RN
• Sara D. Shaw, AU.D
• Izzat Mohammad Shbeeb, MD
• Caroline V Shea, CRNA

• Surgical Assistant in Falls Church, VA
• Providers in Falls Church, VA by specialty
• Surgical Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2017; 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.