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Teresa Ann Shively, BSN

Registered Nurse, Case Management in Alexandria, VA. Individual provider (NPI-1).

NPI number1740397983
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1740397983
Entity type
Individual (NPI-1)
Name
Mrs. Teresa Ann Shively
Credential
BSN
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 24, 2006
Last updated
Jul 8, 2007

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WC0400X Registered Nurse, Case Management0001149341VAYes

Practice location

8850 Richmond Hwy Ste 202
Alexandria, VA 22309-1586

Phone 703-704-7004

Mailing address

1649 Hunting Creek Dr
Alexandria, VA 22314-6219

Phone 703-704-6199

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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