SHENANDOAH PAIN AND PALLIATIVE CARE CLINIC, LLC
NPI 1659919017
Nurse Practitioner in Broadway, VA

Q: What is Shenandoah Pain And Palliative Care Clinic, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since December 17, 2019CLIA 49D2219049 · Waiver

173 E SPRINGBROOK RD, BROADWAY, VA 22815(540) 901-7028(540) 901-2599 Get Directions Write a Review

NPPES record last updated: May 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 13, 2025, Mar 15, 2021, Jan 27, 2020 and 1 more (4 updates tracked since 2019).

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About Shenandoah Pain And Palliative Care Clinic, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHENANDOAH PAIN AND PALLIATIVE CARE CLINIC, LLC (NPI 1659919017) is a healthcare organization registered as a nurse practitioner in Broadway, Virginia and active in the NPI registry since December 2019. The organization holds a CLIA Waiver certificate valid through March 31, 2027 and lists Tabitha Garrison, Owner, as its authorized official.

NPPES Registry Identity

NPI1659919017

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameSHENANDOAH PAIN AND PALLIATIVE CARE CLINIC, LLC

Location Address173 E SPRINGBROOK RDBroadway, VA 22815-9526

Mailing Address173 E Springbrook RdBroadway, VA 22815-9526 · (540) 901-7028 · Fax (540) 901-2599

Phone(540) 901-7028

Fax(540) 901-2599

Organization SubpartNo

Authorized OfficialTabitha GarrisonOwner · (540) 901-7028

Enumeration DateDecember 17, 2019

Last NPPES UpdateMay 13, 20254 updates tracked since enumeration

NPPES CertifiedMay 13, 2025

✔ NPI 1659919017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(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.

173 E SPRINGBROOK RD, Broadway, VA 22815

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D2219049

Shenandoah Pain & Palliative Care Clinic, LLC · Broadway, VA

Active · expires Mar 31, 2027

CLIA Number49D2219049

Laboratory TypePractitioner Other

Certificate Effective DateApril 1, 2025

Certificate Expiration DateMarch 31, 2027

Laboratory DirectorTabitha T. Garrison

Laboratory Phone(540) 901-7028

Laboratory LocationShenandoah Pain & Palliative Care Clinic, LLC173 E Springbrook Road, Broadway, VA 22815

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHERYL LEAH MILLER FNP-C

Nurse Practitioner (Family)

173 E SPRINGBROOK RD
BROADWAY, VA 22815

Rockingham County (540) 901-7028

VALLEY MEDICAL SUPPLIES, LLC

Durable Medical Equipment & Medical Supplies

173 E SPRINGBROOK RD, SUITE A
BROADWAY, VA 22815

Rockingham County (540) 214-6294

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shenandoah Pain And Palliative Care Clinic, LLC's NPI number?

The NPI number for Shenandoah Pain And Palliative Care Clinic, LLC is 1659919017. It was assigned to this organization in the NPPES registry on December 17, 2019.

Where is Shenandoah Pain And Palliative Care Clinic, LLC located?

Shenandoah Pain And Palliative Care Clinic, LLC is located at 173 E Springbrook Rd, Broadway, VA 22815. The listed phone number is (540) 901-7028.

What is Shenandoah Pain And Palliative Care Clinic, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Does Shenandoah Pain And Palliative Care Clinic, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2219049) is associated with this NPI, valid through March 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Shenandoah Pain And Palliative Care Clinic, LLC was last updated on May 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.