MS. JUDY ANN SHIVES (NPI# 1457543365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457543365 |
Entity Type | Individual |
Full Name | MS. JUDY ANN SHIVES |
Credential | NP-C |
Practice Address |
1100 Reynolds Blvd Winston Salem NC 27105-3400 |
Practice Telephone | 3368964475 |
Practice Fax Number | 3368964481 |
Mailing Telephone | 3368964475 |
Mailing Fax Number | 3368964481 |
Enumeration Date | 2007-08-14 |
Last Update Date | 2007-08-14 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
122798 | NC | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1100 REYNOLDS BLVD |
City | WINSTON SALEM |
State | NC |
Zip Code | 27105-3400 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346711827 | Allison Colette Steinhaus | Counselor | 8025 Northpoint Blvd, Winston Salem, NC 27105 | 2018-12-10 |
1033600382 | Alterman & Dhillon Piedmont, Pplc | Dentist | 336 E Hanes Mill Rd, Winston Salem, NC 27105 | 2018-05-22 |
1336676030 | Goldsmith Quality Care LLC. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 132 Jazer Ln, Winston Salem, NC 27105 | 2017-05-12 |
1427459981 | Tammy Bartlett | Physical Therapy Assistant | 4850 Sandusky St., Winston Salem, NC 27105 | 2014-09-15 |
1194154229 | Marla C Torrence | Counselor | 4140 N. Cherry Street, Winston Salem, NC 27105 | 2013-11-08 |
1629313051 | Lydia L. Barber | Counselor | 420 Forest Hills Ave, Winston Salem, NC 27105 | 2012-12-12 |
1023362530 | Helen Doby Martin | Home Health Aide | 4782 Butchwood Drive, Winston-salem, NC 27105 | 2012-11-06 |
1740545284 | Hines Good Samaritan Home | Technician | 2219 Manchester St., Winston-salem, NC 27105 | 2012-07-11 |
1043518129 | Alda Petra Bernardez | Pharmacist | 3539 Patterson Avenue, Winston Salem, NC 27105 | 2011-03-14 |
1225336449 | Alia Khaled Al-asfar | Pharmacist | 3539 Patterson Avenue., Winston Salem, NC 27105 | 2011-03-11 |
Find all providers in zip 27105 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073915880 | Elena Kay Bedingfield | Nurse Practitioner | 639 S Green St, Winston Salem, NC 27101-5109 | 2014-09-23 |
1376765925 | Robert Clark | Nurse Practitioner | Employee and Occupational Health, Medical Center Boulevard, Winston Salem, NC 27157-0001 | 2007-05-03 |
1851446728 | Patricia Kearney | Nurse Practitioner | 147 Columbine Dr, Winston Salem, NC 27106-3112 | 2007-01-23 |
1427012301 | Carol A Brown | Nurse Practitioner | 3880 Vest Mill Rd, Suite 100, Winston Salem, NC 27103-1323 | 2006-04-17 |
1366963589 | Wendy Rash | Nurse Practitioner | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2017-06-28 |
1255794855 | Cheri Taylor | Nurse Practitioner | 615 Saint George Square Ct Ste 300, Winston Salem, NC 27103-1368 | 2016-03-31 |
1154789170 | Emma B Denny | Nurse Practitioner | Medical Center Blvd, Winston Salem, NC 27157-2444 | 2016-02-04 |
1558726745 | Kristin Suzanne Mcnally | Nurse Practitioner | 4692 Brownsboro Rd, Winston Salem, NC 27106-3410 | 2015-12-15 |
1063803740 | Tiyika Sullivan | Nurse Practitioner | 4692 Brownsboro Rd, Winston Salem, NC 27106-3410 | 2015-02-17 |
1316361470 | Karen Pfotenhauer | Nurse Practitioner | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2014-02-10 |
Find all providers in WINSTON SALEM |
City | WINSTON SALEM |
Zip Code | 27105 |
Please comment or provide details below to improve the information on MS. JUDY ANN SHIVES.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.