Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shannon Grant

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1902783103

Shannon Grant is a Nurse Practitioner in Portsmouth, Virginia. Qualified in 2023, 3 years ago. Practices with Aevum Bh VA LLC, a 35-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
3
Licensed in
VA
In the registry since
2025
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Practice location Address checks out

355 Crawford St Ste 102
Portsmouth, VA 23704-2817
Phone: (757) 966-1270
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 0024194269 (VA)

Record details

NPI number1902783103
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 19, 2025
Last updated in NPPESNovember 10, 2025
Certification dateNovember 10, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Aevum Bh Va Llc — 35 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Portsmouth