SHAVANNI AMAYA SYDNOR
NPI 1871289892
Student in an Organized Health Care Education/Training Program in Newport News, VA

Q: What is Shavanni Sydnor's NPI number?

The NPI number for Shavanni Sydnor is 1871289892. It was assigned to this individual provider in the NPPES registry on April 13, 2023.

Q: What is Shavanni Sydnor's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Shavanni Sydnor was last updated on April 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.

Active since April 13, 2023PECOS Enrolled

10510 JEFFERSON AVE STE A, NEWPORT NEWS, VA 23601(757) 594-3800(757) 591-9021 Get Directions Write a Review

NPPES record last updated: April 19, 2023. Verified against the NPPES registry weekly; last sync: September 27, 2026.

On this page

About Shavanni Amaya Sydnor NPPES

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

SHAVANNI AMAYA SYDNOR (NPI 1871289892) is an individual student in an organized health care education/training program in Newport News, Virginia and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871289892

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameSHAVANNI AMAYA SYDNOR

Location Address10510 JEFFERSON AVE STE ANewport News, VA 23601-3102

Mailing Address10510 Jefferson Ave Ste ANewport News, VA 23601-3102 · (757) 594-3800 · Fax (757) 591-9021

Phone(757) 594-3800

Fax(757) 591-9021

Sole ProprietorNo

Enumeration DateApril 13, 2023

Last NPPES UpdateApril 19, 2023

NPPES CertifiedApril 19, 2023

✔ NPI 1871289892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

10510 JEFFERSON AVE STE A, Newport News, VA 23601

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shavanni Amaya Sydnor is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

DR. DANIEL JASON FRASCA D.O.

Family Medicine