MS. JUDY ANN SHIVES


Address: 1100 Reynolds Blvd, Winston Salem, NC 27105-3400
Phone: 3368964475

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 1100 REYNOLDS BLVD
City WINSTON SALEM
State NC
Zip Code 27105-3400

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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
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City WINSTON SALEM
Zip Code 27105

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Dataset Information

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.

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