MASON M. SHIVES (NPI# 1699306811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699306811 |
| Entity Type | Individual |
| Full Name | MASON M. SHIVES |
| Practice Address |
400 N Dixie Hwy Cave City KY 42127-9546 |
| Mailing Address |
201 Park St Bowling Green KY 42101-1708 |
| Practice Telephone | 2707732600 |
| Practice Fax Number | 2703615101 |
| Mailing Telephone | 2707815111 |
| Enumeration Date | 2020-01-27 |
| Last Update Date | 2020-02-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3014190 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100647690 | 05 |
| Street Address |
400 N DIXIE HWY |
| City | CAVE CITY |
| State | KY |
| Zip Code | 42127-9546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740246354 | Jennifer D. Briggs | Nurse Practitioner | 400 N Dixie Hwy, Cave City, KY 42127-9546 | 2006-04-22 |
| 1760770127 | Nexus Lab 2.0 LLC | Clinical Medical Laboratory | 400 N Dixie Hwy, Cave City, KY 42127-9546 | 2011-07-19 |
| 1417266875 | Nexus Lab, Inc. | Clinical Medical Laboratory | 400 N Dixie Hwy, Cave City, KY 42127-9546 | 2010-10-04 |
| 1568402246 | Amy Evans Rutledge | Nurse Practitioner | 400 N Dixie Hwy, Cave City, KY 42127-9546 | 2006-06-08 |
| 1740230366 | Roger Todd Williams | Emergency Medicine | 400 N Dixie Hwy, Cave City, KY 42127-9546 | 2006-05-12 |
| 1538118245 | Roger Todd Williams Md Psc | Clinic/Center | 400 N Dixie Hwy, Cave City, KY 42127-9512 | 2006-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649743253 | Best Care Medical Clinic, LLC | Nurse Practitioner | 701 S. Dixie Hwy, Cave City, KY 42127 | 2019-01-07 |
| 1306049135 | Beth Gail Sturgeon | Case Manager/Care Coordinator | 1934 Whitney Woods Rd, Cave City, KY 42127 | 2007-06-08 |
| 1336341775 | Latichia Gail Cross | Massage Therapist | 220 Mammoth Cave Street, Cave City, KY 42127 | 2007-06-05 |
| 1578668562 | Sheldon A Ballou | Dentist | 203 S Dixie Hwy, Cave City, KY 42127 | 2006-09-14 |
| 1184668873 | Cave City Prescription Center Inc | Pharmacy | 101 South Dixie Hwy, Cave City, KY 42127 | 2006-06-15 |
| 1194914143 | D.chandra Reddy, Md. Psc | Internal Medicine | 440 E Happy Valley St, Cave City, KY 42127 | 2007-10-16 |
| 1578609566 | Christopher Dale Steward | Dentist | 212 Broadway, Cave City, KY 42127 | 2007-01-29 |
| 1548373277 | Michael G Branstetter | Pharmacist | 101 South Dixie Hwy, Cave City, KY 42127 | 2006-08-16 |
| 1780753780 | Marcus Martin Pedigo | Case Manager/Care Coordinator | 1111 Crestview Drive, Cave City, KY 42127-0000 | 2006-11-06 |
| 1962400432 | Cave City Rx Center | Durable Medical Equipment & Medical Supplies | 101 S Dixie Hwy, Cave City, KY 42127-0596 | 2005-07-08 |
| Find all providers in zip 42127 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740246354 | Jennifer D. Briggs | Nurse Practitioner | 400 N Dixie Hwy, Cave City, KY 42127-9546 | 2006-04-22 |
| 1730609439 | Randi Michele Wright | Nurse Practitioner | 307 N Main St, Cave City, AR 72521-9700 | 2017-06-23 |
| 1437448008 | Amber Lea Clements-fore | Nurse Practitioner | 307 N Main St, Cave City, AR 72521-9700 | 2011-04-04 |
| 1568402246 | Amy Evans Rutledge | Nurse Practitioner | 400 N Dixie Hwy, Cave City, KY 42127-9546 | 2006-06-08 |
| 1831160670 | Myra E Kendall | Nurse Practitioner | 301 S Main St, Cave City, AR 72521-9476 | 2006-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518661 | Kimberly Sue Moore | Nurse Practitioner | 1196 Sardis Rd, Mount Olivet, KY 41064-7580 | 2020-11-02 |
| 1740880640 | Kristie Lynn Hale | Nurse Practitioner | 521 East Cumberland Gap Parkway, Suite 1, Corbin, KY 40701 | 2020-10-29 |
| 1053911065 | Ashley Renee Smith | Nurse Practitioner | 8367 Stonelick Rd, Maysville, KY 41056-9432 | 2020-10-28 |
| 1629677117 | Shelby A Rollings | Nurse Practitioner | 100 Clint Hill Blvd, Paducah, KY 42001-6771 | 2020-10-26 |
| 1023618535 | Pamela Nicole Kinney | Nurse Practitioner | 13503 Terrace Creek Dr Apt 203, Louisville, KY 40245-5838 | 2020-10-26 |
| 1710586466 | Jamie Rae Ratcliff | Nurse Practitioner | 141 Ky Route 1428, Prestonsburg, KY 41653-1506 | 2020-10-23 |
| 1518566371 | Kelly Rae Smith | Nurse Practitioner | 13402 Creekview Rd, Prospect, KY 40059-9028 | 2020-10-22 |
| 1952900870 | Sarah Elizabeth Clark | Nurse Practitioner | 1309 Morning Side Ct, Lexington, KY 40509-2353 | 2020-10-21 |
| 1942809033 | Lauren Elizabeth Tobler | Nurse Practitioner | 32 Burdsall Ave, Fort Mitchell, KY 41017-2802 | 2020-10-20 |
| 1629677745 | Lisa Elaine Coleman | Nurse Practitioner | 2241 Gulfstream Dr, Lexington, KY 40504-3273 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
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| 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.