SANDRA SHONGO (NPI# 1194157230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194157230 |
| Entity Type | Individual |
| Full Name | SANDRA SHONGO |
| Credential | N.P. |
| Practice Address |
1240 Lee St Charlottesville VA 22908-0816 |
| Mailing Address |
Po Box 9007 Charlottesville VA 22906-9007 |
| Practice Telephone | 8002239173 |
| Practice Fax Number | 4342430064 |
| Enumeration Date | 2013-07-31 |
| Last Update Date | 2014-06-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 0024170916 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1240 LEE ST |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip Code | 22908-0816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871587246 | Tamila L. Kindwall- Keller | Internal Medicine | 1240 Lee St, Charlottesville, VA 22908-0001 | 2005-08-31 |
| 1780297341 | Megan Godsey Poole | Dietitian, Registered | 1240 Lee St, Charlottesville, VA 22908-6055 | 2020-08-24 |
| 1437774577 | Wendi Betting | Genetic Counselor, MS | 1240 Lee St, Charlottesville, VA 22908-0817 | 2020-06-15 |
| 1497376768 | Toni F Kistner | Registered Nurse | 1240 Lee St, Charlottesville, VA 22908-0817 | 2020-04-28 |
| 1851925093 | Christina J Taylor | Nurse Practitioner | 1240 Lee St, Charlottesville, VA 22908-0816 | 2020-02-26 |
| 1447884960 | Jensen Carr | Pharmacist | 1240 Lee St, Charlottesville, VA 22908-0817 | 2020-02-24 |
| 1700436839 | Melody D Noble | Nurse Practitioner | 1240 Lee St, Charlottesville, VA 22908-0816 | 2019-09-20 |
| 1619527322 | Joshua Humphrey | Nurse Practitioner | 1240 Lee St, Charlottesville, VA 22908-0817 | 2019-09-14 |
| 1104482108 | Dale Hardaway Roper | Pharmacist | 1240 Lee St, Charlottesville, VA 22908-0817 | 2019-05-15 |
| 1710542345 | Danh Pham | Pharmacist | 1240 Lee St, Charlottesville, VA 22908-0817 | 2019-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568020410 | Alexis Evans | Physician Assistant | 1215 Lee St Nnicu, Charlottesville, VA 22908 | 2019-06-04 |
| 1649702317 | Ryan Aschenbrener | Student in an Organized Health Care Education/Training Program | 545 Ray C Hunt Drive Suite 2400, Charlottesville, VA 22908 | 2017-03-31 |
| 1215399241 | Katherine Gresham Belote | Student in an Organized Health Care Education/Training Program | 1221 Lee Street Uva Health System, Charlottesville, VA 22908 | 2016-03-29 |
| 1851776215 | Catherine Meller | Student in an Organized Health Care Education/Training Program | 1215 Lee St., Box 800713, Charlottesville, VA 22908 | 2015-07-28 |
| 1295112597 | Breanna Campbell | Internal Medicine | 1220 Lee St Ste 2401, Charlottesville, VA 22908 | 2015-05-06 |
| 1013255637 | Melinda Bowles-childress | Nurse Practitioner | 1 Hospital Dr Fl 1, Charlottesville, VA 22908 | 2013-01-17 |
| 1053521757 | Univeristy of Virginia Health System | General Acute Care Hospital | University of Virginia Health System, 1215 Lee Street, Chalrlottesville, VA 22908 | 2007-05-23 |
| 1730241282 | Imre Noth | Internal Medicine | 1221 Lee St Fl 2, Charlottesville, VA 22908 | 2006-12-14 |
| 1023185394 | Tamer Ghanem | Otolaryngology | Dept. Otolaryngology, University of Virginia, 1 Hospital Dr., 2nd Floor Oms Rm 2747, Charlottesville, VA 22908 | 2006-11-29 |
| 1366401242 | Lisa M Christianson | Obstetrics & Gynecology | Uva Elson Student Health Center, 400 Brandon Avenue, Charlottesville, VA 22908 | 2006-03-21 |
| Find all providers in zip 22908 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982161535 | Alana L Chaffee | Nurse Practitioner | 4267 Chris Greene Lake Rd, Charlottesville, VA 22911-5812 | 2019-03-01 |
| 1518484864 | Miranda G Trent | Nurse Practitioner | 233 4th St Nw, Charlottesville, VA 22903-4593 | 2017-08-28 |
| 1215452024 | Ellen Esther Wermter | Nurse Practitioner | 1410 Rolkin Ct Ste 101, Charlottesville, VA 22911-3587 | 2017-08-14 |
| 1770845968 | Jennifer Furlow | Nurse Practitioner | 2024 Echo Ridge Rd, Charlottesville, VA 22911-7220 | 2012-06-13 |
| 1588937304 | Kelly Anne Sicoli | Nurse Practitioner | 3400 Brookside Dr, Charlottesville, VA 22901-9566 | 2012-02-10 |
| 1669654018 | Deborah A. Baker | Nurse Practitioner | Hospital Drive 3rd Floor, Charlottesville, VA 22908-0001 | 2007-11-28 |
| 1396880944 | Lois M. Perry | Nurse Practitioner | Fontaine Neurology Eplilepsy Clinic, 500 Ray C. Hunt Drive, Charlottesville, VA 22903 | 2007-02-21 |
| 1063555233 | Dyan A Aretakis | Nurse Practitioner | 1400 W Main St Box 800402, Uva Teen Health Center, Charlottesville, VA 22908-0001 | 2007-02-15 |
| 1861532970 | Jill Holmes | Nurse Practitioner | The Cancer Center Uva Hospital W, Hospital Drive, Charlottesville, VA 22908-0001 | 2007-02-07 |
| 1467539544 | Hong Zhao | Nurse Practitioner | 500 Ray C. Hunt Dr, Hospital Drive, Charlottesville, VA 22903 | 2006-11-01 |
| Find all providers in CHARLOTTESVILLE | ||||
| City | CHARLOTTESVILLE |
| Zip Code | 22908 |
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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.