Deborah Shealey, MDIV; DCC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Practice address

4179 Indian Spring Rd
Green Bay, VA 23942-2516

Phone

(434) 390-3111

NPI assigned

Jan 16, 2020

Last updated

Jan 17, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1579132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579219200000",
    "number": "1972133023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4179 INDIAN SPRING RD",
            "city": "GREEN BAY",
            "state": "VA",
            "postal_code": "239422516",
            "telephone_number": "434-390-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4179 INDIAN SPRING RD",
            "city": "GREEN BAY",
            "state": "VA",
            "postal_code": "239422516",
            "telephone_number": "434-390-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEALEY",
        "first_name": "DEBORAH",
        "credential": "MDIV; DCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-16",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca D Childres
• Eagle Transport Services LLC
• Kandy Hayes

• Home Health Agency in Green Bay, VA
• Providers in Green Bay, VA by specialty
• Home Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; 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.