Individual provider Active NPI

Shannon Rhodes, NP-C

  • Family Nurse Practitioner
  • Glen Allen, VA
National Provider Identifier
1952054231
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024183297 Issued in VA
Practice address
10412 Washington Hwy
Glen Allen, VA 23059-1918
Phone
(804) 538-1652
Fax
(833) 450-0220
NPI assigned
Jan 27, 2022
Last updated
Oct 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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 0024183297 VA Primary

Addresses

Primary practice location

10412 Washington Hwy
Glen Allen, VA 23059-1918

Mailing address

10412 Washington Hwy
Glen Allen, VA 23059-1918
Phone (804) 538-1652

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
I20220610002439 VA Practitioner - Nurse Practitioner 4981082401 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
Group practices
Chester Square Family Practice, PLCGroup PAC ID 7214095421, 2 clinicians

Practice addresses (Care Compare)

12200 Iron Bridge Rd
Chester, VA 23831-1530
Phone (804) 778-4447

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chester Square Family Practice, PLC CurrentSince Apr 25, 2022 Accepting new patients
Privia Medical Group, LLC PastSince Apr 25, 2022 Accepting new patients

Locations

12200 Iron Bridge Rd
Chester, VA 23831
Phone (804) 778-4447

Interoperability endpoints

  • Direct secure messaging: shannon.rhodes.1@14940.direct.athenahealth.com

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": "1643241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1952054231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10412 WASHINGTON HWY",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230591918",
            "telephone_number": "804-538-1652",
            "fax_number": "833-450-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10412 WASHINGTON HWY",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230591918",
            "telephone_number": "804-538-1652",
            "fax_number": "833-450-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHODES",
        "first_name": "SHANNON",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-27",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024183297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Allen, VA

Sources for this page

Verify at the official NPI Registry.