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

Shavon Cooke

Individual provider Other Technician · NPI 1780391284

Shavon Cooke is an Other Technician in Portsmouth, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2022
Specialties on file
3

Practice location Address checks out

168 Williams St
Portsmouth, VA 23704-1835
Phone: (757) 759-1619
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Toxicology (Preventive Medicine) Physician (primary) Taxonomy 2083T0002X · Licence 43990-167-465-8163 (VA)
Other Technician Taxonomy 247200000X
Phlebology Physician Taxonomy 202K00000X · Licence 43990-167-465-8163 (VA)

Record details

NPI number1780391284
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 3, 2022
Last updated in NPPESJanuary 12, 2024
Certification dateJanuary 12, 2024
Mailing address1021 Eden Way North Pmb 339, Ste 118, Chesapeake, VA 23320

Other providers in Portsmouth