Healthcare Provider Details

I. General information

NPI: 1225897374
Provider Name (Legal Business Name): SHAUNA CHRISTINE BARRY PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/18/2024
Last Update Date: 04/21/2025
Certification Date: 04/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2201 E FRANKLIN ST APT 110
RICHMOND VA
23223-7004
US

IV. Provider business mailing address

2201 E FRANKLIN ST APT 110
RICHMOND VA
23223-7004
US

V. Phone/Fax

Practice location:
  • Phone: 617-435-5123
  • Fax:
Mailing address:
  • Phone: 617-435-5123
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number00031307366
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number0024192184
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: