MS. SANDRA KATHRYN SHOCKEY


Address: 800 Grand Central Mall, Suite 11, Vienna, WV 26105-4100
Phone: 3049161270

MS. SANDRA KATHRYN SHOCKEY (NPI# 1679706469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679706469
Entity Type Individual
Full Name MS. SANDRA KATHRYN SHOCKEY
Credential APRN (C/NP)
Practice Address 800 Grand Central Mall
Suite 11
Vienna
WV 26105-4100
Mailing Address 2507 27th St
Parkersburg
WV 26104-2720
Practice Telephone 3049161270
Practice Fax Number 3049161274
Mailing Telephone 3048937000
Enumeration Date 2009-08-27
Last Update Date 2019-01-22
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WP2201X Registered Nurse
Specialization: Ambulatory Care
38437 WV Nursing Service Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
38437 WV Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 800 GRAND CENTRAL MALL
SUITE 11
City VIENNA
State WV
Zip Code 26105-4100

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427051390 Robert Randal Heavner Family Medicine 800 Grand Central Mall, Suite 4, Vienna, WV 26105-4131 2005-05-24
1710469606 Karen Malee Palmateer Physician Assistant 800 Grand Central Mall, Mov Medical Office Building, Suite 10, Vienna, WV 26105 2018-09-06
1982080057 Amanda Holman Registered Nurse 800 Grand Central Mall, Suite 4, Vienna, WV 26105-4100 2015-07-30
1073903373 Mid-ohio Valley Nephrology Association Family Medicine 800 Grand Central Mall, Suite 9, Vienna, WV 26105-4100 2015-01-26
1801204003 William A Cline, Do, Pllc Surgery 800 Grand Central Mall, Suite 2, Vienna, WV 26105-4100 2014-07-31
1932459542 Heather Nichole Nutter Audiologist 800 Grand Central Mall, Suite 11, Vienna, WV 26105-4100 2012-09-12
1215284997 Pamela J Parker Nurse Practitioner 800 Grand Central Mall, Suite 4, Vienna, WV 26105-4100 2012-08-13
1609139906 First Settlement Orthopaedics Inc Orthopaedic Surgery 800 Grand Central Mall, Suite 6, Vienna, WV 26105-4100 2012-06-21
1720368483 Matthew Dean Sells Physical Therapist 800 Grand Central Mall, Suite 1, Vienna, WV 26105-4100 2011-08-25
1265732093 Megan Ann Fluharty Physician Assistant 800 Grand Central Mall, Ste 3, Vienna, WV 26105-4100 2010-10-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023536596 Medexpress Urgent Care, PC - Virginia Emergency Medicine 3 Merrywood Lane, Vienna, WV 26105 2017-09-06
1558889196 Medexpress Urgent Care, PC - Virginia Emergency Medicine 2 Merrywood Lane, Vienna, WV 26105 2017-09-05
1538555206 Cecilia Velarde Harrington Internal Medicine 418 Grand Park Dr Ste 311, Parkersburg, WV 26105 2015-04-09
1568854974 Kathryn Eileen Epkey Student in an Organized Health Care Education/Training Program 411 28th Street, Vienna, WV 26105 2015-02-21
1023120441 Robert William Azar Otolaryngology 1801 Grand Central Ave, Vienna, WV 26105 2006-08-31
1578521407 John A Stavrakis Optometrist 701 Grand Central Ave, Vienna, WV 26105 2006-05-02
1881203149 Charlene Rein Dentist 501 Grand Central Ave, Vienna, WV 26105 2020-07-23
1891355434 Mohamed Moustafa Meky Dentist 501 Grand Central Ave, Parkersburg, WV 26105 2019-06-17
1568990091 Jonathon Ray Barbosa Scott Specialist/Technologist 1 Campus Drive, Vienna, WV 26105 2017-05-29
1356772677 Drs. Krajekian,brock & Henderson Inc Dentist 417 Grand Park Dr, Suite 103, Parkersburg, WV 26105 2013-12-12
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Taxonomy Information

Taxonomy Code 163WP2201X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Ambulatory Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1104010800 Daniel Steven Summers Registered Nurse 890 Bryce St, Elkview, WV 25071-9307 2007-09-05
1447653217 Jodi Stollings Registered Nurse 510 Butler Ave, Martinsburg, WV 25405-9990 2014-10-07
1881015352 Jenine Gardner Registered Nurse 510 Butler Ave, Martinsburg, WV 25405-9990 2013-12-30
1619398211 Joyce Compton Registered Nurse 510 Butler Ave, Martinsburg, WV 25405-9990 2013-12-27
1679767032 Beth Ann Pritchett Registered Nurse Rr 2 Box 378, Bluefield, WV 24701-9644 2007-08-29

Competitor

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City VIENNA
Zip Code 26105

Improve Information

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Dataset Information

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.

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