Shawn Pennetti (NPI# 1013436476, PAC ID# 5092078824) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1013436476 |
| PAC ID by PECOS | 5092078824 |
| Professional Enrollment ID | I20180410000128 |
| Full Name | Shawn Pennetti |
| Organization Legal Name | PRIVIA MEDICAL GROUP,LLC |
| Address |
8700 Sudley Rd Suite 220 Manassas VA 20110-4418 |
| Phone Number | 5713668845 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4385682061 |
| Number of Group Practice Members | 969 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490077 | SENTARA MARTHA JEFFERSON HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1200 Five Springs Rd, Suite T1, Charlottesville, VA 22902-8756 | 4349731831 | PRIVIA MEDICAL GROUP,LLC |
| 3025 Berkmar Dr, Suite 1, Charlottesville, VA 22901-1456 | 4349731831 | PRIVIA MEDICAL GROUP,LLC |
| 8700 Sudley Rd, Suite 220, Manassas, VA 20110-4418 | 5713668845 | PRIVIA MEDICAL GROUP,LLC |
| Organization Legal Name | PRIVIA MEDICAL GROUP,LLC |
| Physicians | 987 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dana Jones-sheppard | Nurse Practitioner | Privia Medical Group,llc | 3903 Fair Ridge Dr, Suite 219, Fairfax, VA 22033-2945 |
| Ryan Timothy Pyles | Physician Assistant | Privia Medical Group,llc | 8700 Sudley Rd, Suite 220, Manassas, VA 20110-4418 |
| Emily Christine Stano | Psychologist, Clinical | Privia Medical Group,llc | 1901 Research Blvd, Suite 160, Rockville, MD 20850-6122 |
| Deidre Ann Fisher | Nurse Practitioner | Privia Medical Group,llc | 7505 Democracy Blvd, A113, Bethesda, MD 20817-1238 |
| Stephanie Carter | Family Medicine | Privia Medical Group,llc | 3650 Joseph Swck Dr, 205b All Female Obgyn LLC, Fairfax, VA 22033-1710 |
| Belen Tesfaye | Gastroenterology | Privia Medical Group,llc | 18121 Georgia Ave, Suite 103, Olney, MD 20832-1437 |
| Anita Sikand | Obstetrics/gynecology | Privia Medical Group,llc | 2440 M Street, 320 Pmg_cwhp_dc Office', Washington, DC 20037-1473 |
| Alicia Morgan-cooper | Pediatric Medicine | Privia Medical Group,llc | One E University Pkwy, 109 Pmg_viped_baltimore Office, Baltimore, MD 21218-2432 |
| Carrie S Goodrich | Nurse Practitioner | Privia Medical Group,llc | 142 Smithfield Rd, Saint Stephens Church, VA 23148-2129 |
| Jonathan L Siddon | Internal Medicine | Privia Medical Group,llc | 9900 Belward Campus Dr, Suite 325, Rockville, MD 20850-4095 |
| Street Address |
8700 SUDLEY RD SUITE 220 |
| City | MANASSAS |
| State | VA |
| Zip | 20110-4418 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan Timothy Pyles | Physician Assistant | Privia Medical Group,llc | 8700 Sudley Rd, Suite 220, Manassas, VA 20110-4418 |
| Meenakshi Gopal | Internal Medicine | Privia Medical Group,llc | 8700 Sudley Rd, Suite 220, Manassas, VA 20110-4418 |
| Betsy Vasquez | Otolaryngology | Privia Medical Group,llc | 8700 Sudley Rd, Suite 220, Manassas, VA 20110-4418 |
| Katherine M Czyszczon | Obstetrics/gynecology | Privia Medical Group,llc | 8700 Sudley Rd, Suite 220, Manassas, VA 20110-4418 |
| Linda P Powers | Internal Medicine | Privia Medical Group,llc | 8700 Sudley Rd, Suite 220, Manassas, VA 20110-4418 |
| Daniel Noffsinger | Obstetrics/gynecology | Privia Medical Group,llc | 8700 Sudley Rd, Suite 220, Manassas, VA 20110-4418 |
| Susan G Bird | Certified Registered Nurse Anesthetist (crna) | American Anesthesiology of Virginia, PC | 8700 Sudley Rd, Manassas, VA 20110-4418 |
| Susan E Robbins | Emergency Medicine | Privia Medical Group,llc | 8700 Sudley Rd, Suite 220, Manassas, VA 20110-4418 |
| Kathryn Stout | Obstetrics/gynecology | Privia Medical Group,llc | 8700 Sudley Rd, Suite 220, Manassas, VA 20110-4418 |
| Lee E Lorico | Anesthesiology | American Anesthesiology of Virginia, PC | 8700 Sudley Rd, Manassas, VA 20110-4418 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Syamala K Naroji | Obstetrics/gynecology | 8071 Digges Rd, Manassas, VA 20110 | |
| Eugene H Kim | Nephrology | Kidney and Hypertension Specialists, Pllc | 9378 Forestwood Lane E, Manassas, VA 20110 |
| Rashida K Rahman | Nephrology | Kidney and Hypertension Specialists, Pllc | 9378 Forestwood Lane E, Manassas, VA 20110 |
| Jay J Lee | Optometry | 9405 Liberia Ave, Manassas, VA 20110-1718 | |
| Sofia Naz Ahmad | Optometry | Advanced Ophthalmology,inc | 9161 Liberia Ave, Suite 405, Manassas, VA 20110-1723 |
| Babur B Lateef | Ophthalmology | Advanced Ophthalmology,inc | 9161 Liberia Ave, Suite 405, Manassas, VA 20110-1723 |
| Lisa H Kerrigan | Physical Therapy | Advantage Physical Therapy and Rehabilitation LLC | 9161 Liberia Ave, Suite 205, Manassas, VA 20110-1725 |
| Salma Chakhachirou | Optometry | Manassas Optometry, LLC | 9675 Liberia Ave, Suite 220, Manassas, VA 20110-1741 |
| Rosemary Clara Nzeogu | Nurse Practitioner | Greater Prince William Area Community Health Center Inc | 9705 Liberia Ave, Suite 201, Manassas, VA 20110-1744 |
| Jennifer Leigh Folks | Nurse Practitioner | Greater Prince William Area Community Health Center Inc | 9705 Liberia Ave, Suite 201, Manassas, VA 20110-1744 |
| Find all physicians in zip 20110 | |||
| City | MANASSAS |
| Zip Code | 20110 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MANASSAS + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Shawn Pennetti.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.