DR. EMILY SIMOSON SHIELDS M.D. NPI 1629109764

NPI Information

  • NPI: 1629109764
  • Provider Name: DR. EMILY SIMOSON SHIELDS, M.D.
  • Classification: Psychiatry & Neurology - 2084N0400X
  • Specialization: Neurology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 16000 JOHNSTON MEMORIAL DR
    SUITE 312
    ABINGDON, VA
    ZIP 24211
  • Phone: (276) 258-3733

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NPI Details

DR. Emily Simoson Shields, M.D. is a neurology psychiatry neurology in Abingdon, VA. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. DR. Emily Simoson Shields, M.D. NPI is 1629109764. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

16000 JOHNSTON MEMORIAL DR
SUITE 312
ABINGDON, VA
ZIP 24211-664
Phone: (276) 258-3733
Fax: (276) 258-3734

The NPI 1629109764 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/8/2007 and was last updated on 2/23/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084N0400XPsychiatry & NeurologyNeurology0101248155VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1P00925988OTHERVIRGINIARR MCARE
21629109764MEDICAIDVIRGINIA
37100142570MEDICAIDKENTUCKY
4VAA102779MEDICARE PINVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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