IndividualActive
Shawnly Ward, SFIDC
NPI 1053629964 · Independent Duty Corpsman · Norfolk, VA
Provider details
- NPI number
- 1053629964
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- SFIDC
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Surface Warfare Medical Institute - East
459 Bellinger Blvd
Norfolk, VA 23511
Phone: (757) 322-9298
Approximate (ZIP-level) locationGet directions
Mailing address
1424 Gust Ln
Chesapeake, VA 23323-2906
Registry dates
- Enumerated
- 2010-09-14
- Last updated
- 2018-05-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.