SHANNON PRINCE GLAWS (NPI# 1649582131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649582131 |
| Entity Type | Individual |
| Full Name | SHANNON PRINCE GLAWS |
| Credential | PA-C |
| Practice Address |
21475 Ridgetop Cir Ste 150 Sterling VA 20166-6580 |
| Mailing Address |
21475 Ridgetop Cir Ste 150 Sterling VA 20166-6580 |
| Practice Telephone | 7034445000 |
| Practice Fax Number | 7034444999 |
| Mailing Telephone | 7034445000 |
| Mailing Fax Number | 7034444999 |
| Enumeration Date | 2010-07-13 |
| Last Update Date | 2014-04-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0110003316 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
21475 RIDGETOP CIR STE 150 |
| City | STERLING |
| State | VA |
| Zip Code | 20166-6580 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831663954 | Bryan Charles Daunt | Physician Assistant | 21475 Ridgetop Cir Ste 150, Sterling, VA 20166-6580 | 2019-01-11 |
| 1376044164 | Jessica Kelly Simms | Physician Assistant | 21475 Ridgetop Cir Ste 150, Sterling, VA 20166-6580 | 2018-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881187458 | Vincent Seng | Behavior Technician | 4040 Center Oak Plaza, Suite 150, Sterling, VA 20166 | 2018-06-08 |
| 1205339348 | Morgan Elyse Gillum | Occupational Therapist | 45305 Catalina Ct Ste 101, Sterling, VA 20166 | 2018-03-15 |
| 1376090548 | Chelsea Moore | Behavioral Analyst | 46040 Center Oak Plz Ste 150, Sterling, VA 20166 | 2016-09-06 |
| 1194175711 | Krisha Verma | Dentist | 21631 Ridgetop Cir Ste 240, Sterling, VA 20166 | 2016-06-14 |
| 1265898571 | Bba Home Health Care | Home Health | 23420 Summerstown Place, Dulles, VA 20166 | 2016-01-04 |
| 1588038590 | Mancy Modi | Physical Therapist | 45305 Catalina Court, Suite 103, Sterling, VA 20166 | 2015-11-16 |
| 1912300377 | Kiley Coleman Gibbs | Physical Therapist | 21631 Ridgetop Cir Ste 225a, Sterling, VA 20166 | 2014-09-30 |
| 1053712554 | Rx Ante Pharmacy Services, LLC | Pharmacy | 21630 Ridgetop Circle, Suite 100, Sterling, VA 20166 | 2014-09-16 |
| 1972904738 | Northern Virginia Community Hospital LLC | General Acute Care Hospital | 24440 Stone Springs Boulevard, Dulles, VA 20166 | 2014-09-11 |
| 1518304641 | Institute for The Psychological Sciences | Psychologist | 45154 Underwood Ln., Sterling, VA 20166 | 2013-05-30 |
| Find all providers in zip 20166 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619968906 | Tara C Villano | Physician Assistant | 47100 Community Plz, Sterling, VA 20164-1826 | 2005-11-04 |
| 1235606864 | Mallory A Guffey | Physician Assistant | 46440 Benedict Dr Ste 107, Sterling, VA 20164-6602 | 2018-11-01 |
| 1417466475 | Keli An Meraz | Physician Assistant | 102 Hays Ave, Sterling, CO 80751-2866 | 2017-09-21 |
| 1104282755 | Nicole M Showalter | Physician Assistant | 620 Iris Dr, Sterling, CO 80751-4716 | 2016-01-12 |
| 1730585514 | Cara Firch | Physician Assistant | 101 E Miller Rd, Sterling, IL 61081-1252 | 2014-11-06 |
| 1932524451 | Charles A. Kudlauskas | Physician Assistant | 12101 Highway 61, Sterling, CO 80751-8428 | 2014-02-19 |
| 1922350495 | Maggie S Stumpf | Physician Assistant | 47100 Community Plz Ste 100, Sterling, VA 20164-1821 | 2012-10-09 |
| 1154696193 | Keri Ann Mckay | Physician Assistant | 12101 Highway 61, Clinical Services Department, Sterling, CO 80751-8428 | 2012-03-08 |
| 1285906388 | Alexis L. Williams | Physician Assistant | 21475 Ridgetop Cir, Suite 150, Sterling, VA 20166-6580 | 2012-02-03 |
| 1376875138 | Eric Becker | Physician Assistant | 615 Fairhurst St, Sterling, CO 80751-4523 | 2010-02-04 |
| Find all providers in STERLING | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.