SHARON SHORT SHAVER (NPI# 1225309693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225309693 |
Entity Type | Individual |
Full Name | SHARON SHORT SHAVER |
Credential | BA |
Practice Address |
622 Powell Ave E Big Stone Gap VA 24219-2348 |
Mailing Address |
1167 Spratlin Park Dr Gray TN 37615-6205 |
Practice Telephone | 2765230682 |
Practice Fax Number | 4234673644 |
Mailing Telephone | 4234673600 |
Mailing Fax Number | 4234673644 |
Enumeration Date | 2012-01-18 |
Last Update Date | 2019-10-11 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
Y | 101YP2500X |
Counselor Specialization: Professional |
0701008275 | VA | Behavioral Health & Social Service Providers |
Street Address |
622 POWELL AVE E |
City | BIG STONE GAP |
State | VA |
Zip Code | 24219-2348 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104964014 | Ginger Gail Meade Oreilly | Case Manager/Care Coordinator | 622 Powell Ave E, Big Stone Gap, VA 24219 | 2007-02-02 |
1386869154 | Edna Mae Winters | Technician, Other | 622 Powell Ave E, Big Stone Gap, VA 24219-2348 | 2007-04-16 |
1891919064 | Joyce C Gilbert | Technician, Other | 622 Powell Ave E, Big Stone Gap, VA 24219-2348 | 2007-04-12 |
1669517561 | Frontier Health | Case Management | 622 Powell Ave E, Big Stone Gap, VA 24219-2348 | 2007-02-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609408962 | Dillon Wayne Roberts | Private Vehicle | 2101 Seterra St, Big Stone Gap, VA 24219 | 2020-02-05 |
1609427525 | Joan M Daniel | Technician | 800 Buffalo Ridge Road, Big Stone Gap, VA 24219 | 2019-09-23 |
1932634953 | Big Stone Economy Drug Inc | Pharmacy | 205 East 5th Street North, Big Stone Gap, VA 24219 | 2017-04-27 |
1639519655 | Family Preservation Services, Inc. | Community/Behavioral Health | Two Champions Avenue, Big Stone Gap, VA 24219 | 2013-07-05 |
1134464456 | Family Preservation Services, Inc | Community/Behavioral Health | 212 Monta Vista Lane, Big Stone Gap, VA 24219 | 2012-11-28 |
1902158892 | Tommie Jo Harding | Registered Nurse | 1508 Third Ave East, Big Stone Gap, VA 24219 | 2012-10-03 |
1366793002 | Rebecca Ely Johnson | Registered Nurse | 1508 3rd Ave. East, Big Stone Gap, VA 24219 | 2012-09-20 |
1770833238 | Melinda Dawn Hamm | Licensed Practical Nurse | 1508 3rd Ave East, Big Stone Gap, VA 24219 | 2012-09-12 |
1801197470 | Family Preservation Services, Inc. | Community/Behavioral Health | 170 Mountain View Circle, Big Stone Gap, VA 24219 | 2010-11-12 |
1245498062 | Joshua Heath Dalton | Neuromusculoskeletal Medicine & OMM | 14 East 27st N, Ste 2, Big Stone Gap, VA 24219 | 2008-05-29 |
Find all providers in zip 24219 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811976376 | Harold Mark Lester | Counselor | 2020 Ridge View Dr, Big Stone Gap, VA 24219-3365 | 2006-01-12 |
1730642331 | Michael S Lilly | Counselor | 43 Champions Ave, Big Stone Gap, VA 24219-1105 | 2019-04-10 |
1376001743 | Lisa Owsley | Counselor | 205 E 19th St N, Big Stone Gap, VA 24219-3468 | 2019-03-05 |
1902393010 | Christopher Russell | Counselor | 205 E 19th St N, Big Stone Gap, VA 24219-3468 | 2018-04-16 |
1881981355 | Susan Kay Bolling | Counselor | 43 Champions Ave, Big Stone Gap, VA 24219-1105 | 2011-07-06 |
1306078571 | Michael Sean Halcomb | Counselor | 3169 2nd Ave E, Big Stone Gap, VA 24219-3805 | 2009-08-20 |
1104964097 | Mark Harrison Wade | Counselor | 3169 2nd Ave E, Big Stone Gap, VA 24219 | 2007-02-02 |
1225176597 | Talitha Taylor Hollifield | Counselor | 3169 2nd Ave E, Big Stone Gap, VA 24219-3805 | 2007-02-01 |
1063550366 | Wendi Paige Rose | Counselor | 3169 2nd Ave East, Wise County Behavioral Health Services, Big Stone Gap, VA 24219 | 2007-02-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558962464 | Stefanie Newman | Counselor | 2340 Commonwealth Dr Fl 1, Charlottesville, VA 22901-1634 | 2020-11-06 |
1790385672 | Katlyn Nunley | Counselor | 620 Park Ave Nw, Norton, VA 24273-1922 | 2020-10-29 |
1972103018 | Jessica Alaine Whittle | Counselor | 1488 Claiborne St, Danville, VA 24540-3150 | 2020-10-28 |
1326648486 | Sara Wood | Counselor | 1021 Eden Way N Ste 123, Chesapeake, VA 23320-2776 | 2020-10-28 |
1871192336 | Jessie Lewis-crosby | Counselor | 3022 Camp Overlook Ln, Keezletown, VA 22832-2209 | 2020-10-25 |
1356940910 | Celeste Suzann Cantees | Counselor | 1008 Pendleton St, Alexandria, VA 22314-2286 | 2020-10-23 |
1023617396 | Jennifer Nicole Freeman | Counselor | 3101 Wilson Blvd, Arlington, VA 22201-4443 | 2020-10-19 |
1780282558 | Ashley Groeper | Counselor | 1657 W Broad St Unit 3a, Richmond, VA 23220-2153 | 2020-10-14 |
1942808845 | Todd Alan Gearheart | Counselor | 102 Goose Creek Ter, Thaxton, VA 24174-3010 | 2020-10-13 |
1922606946 | Elaine Zagami | Counselor | 1406 Gentry Ln Unit B, Charlottesville, VA 22903-1320 | 2020-10-12 |
Find all providers with the same taxonomy |
City | BIG STONE GAP |
Zip Code | 24219 |
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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.