| Shannon Grant, | |
|
355 Crawford St Ste 102, Portsmouth, VA 23704-2817 | |
| (757) 966-1270 | |
| Not Available |
| Full Name | Shannon Grant |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 355 Crawford St Ste 102, Portsmouth, Virginia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902783103 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 0024194269 (Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mid Atlantic Long Term Specialty Care Llc | 8921427162 | 28 |
| Aevum Bh Va Llc | 3274067210 | 35 |
| Peace Of Mind Therapeutic Solutions | 1355799388 | 4 |
| Entity Name | Peace of Mind Therapeutic Solutions |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477178218 PECOS PAC ID: 1355799388 Enrollment ID: O20231130002414 |
| Entity Name | Aevum BH VA LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225856008 PECOS PAC ID: 3274067210 Enrollment ID: O20241113000945 |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Grant, 355 Crawford St Ste 102, Portsmouth, VA 23704-2817 Ph: (757) 966-1270 | Shannon Grant, 355 Crawford St Ste 102, Portsmouth, VA 23704-2817 Ph: (757) 966-1270 |
Mr. John F Lyons, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-445-9187 Fax: 757-445-5443 |
Flordeliza Ablao-chanthavichith, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3235 Academy Ave, Suite 305, Portsmouth, VA 23703 Phone: 757-686-9300 Fax: 757-686-1514 |
Mrs. Keva Denise Hoyt, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4106 Portsmouth Blvd, Portsmouth, VA 23701 Phone: 757-393-1136 Fax: 757-698-2499 |
Mrs. Desirae Nicole Pierce, NNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-1894 Fax: 757-953-0090 |
Mrs. Laura Lowe, ACNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 620 John Paul Jones Cir Ste 275, Portsmouth, VA 23708 Phone: 757-953-2004 Fax: 757-953-0823 |
Danielle Rae Cavignac, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1817 Frederick Blvd, Portsmouth, VA 23707 Phone: 757-695-5181 |
Jordan Cox, AGACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3636 High St, Portsmouth, VA 23707 Phone: 757-398-2200 |