MRS. SHELLEY ANN BIRD (NPI# 1700212354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700212354 |
| Entity Type | Individual |
| Full Name | MRS. SHELLEY ANN BIRD |
| Credential | NP-C |
| Practice Address |
2021 E Independence St Springfield MO 65804-3748 |
| Mailing Address |
2433 E Edgewood St Springfield MO 65804-3905 |
| Practice Telephone | 4178851445 |
| Mailing Telephone | 4177663479 |
| Enumeration Date | 2013-09-15 |
| Last Update Date | 2013-09-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2013032148 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2021 E INDEPENDENCE ST |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65804-3748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497772750 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 2021 E Independence St, Springfield, MO 65804-3748 | 2006-07-16 |
| 1154922995 | Michael David Buchta | Pharmacist | 2021 E Independence St, Springfield, MO 65804-3748 | 2020-11-06 |
| 1124628508 | Telina Dawn Horton | Pharmacist | 2021 E Independence St, Springfield, MO 65804-3748 | 2020-10-27 |
| 1710464151 | Brad Wesley Brown | Nurse Practitioner | 2021 E Independence St, Springfield, MO 65804-3748 | 2018-07-27 |
| 1780936302 | Lori Ann Chaffin | Nurse Practitioner | 2021 E Independence St, Springfield, MO 65804-3748 | 2012-10-05 |
| 1205909397 | National Hearing Centers | Audiologist-Hearing Aid Fitter | 2021 E Independence St, Springfield, MO 65804-3748 | 2006-11-16 |
| 1962415273 | Wal-mart Stores East, Lp | Technician/Technologist | 2021 E Independence St, Springfield, MO 65804-3748 | 2006-08-15 |
| 1437160900 | Kristen Gillogly Woods | Optometrist | 2021 E Independence St, Springfield, MO 65804-3748 | 2006-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790393049 | Kathy Forson | Nurse Practitioner | 1235 E. Cherokee St., Springfield, MO 65804 | 2020-07-22 |
| 1306498779 | Anne B Summers, LLC | Social Worker | 1310 E. Kingsley St., Ste C, Springfield, MO 65804 | 2019-07-15 |
| 1790241800 | Margaret Mary Hart | Social Worker | 1845 S Rogers Ave, Springfield, MO 65804 | 2019-02-13 |
| 1598254666 | Casey Carr | Optometrist | 1229 E Seminole St Ste 110, Springfield, MO 65804 | 2018-05-04 |
| 1124520697 | Shelby D White | Behavioral Analyst | 1300 E. Bradford Parkway, Springfield, MO 65804 | 2018-03-01 |
| 1316448343 | Karl Lynham | Massage Therapist | 1200 E Woodhurst Dr R300, Springfield, MO 65804 | 2018-02-25 |
| 1699273763 | Leah Wilson | Counselor | 1322 E Woodgate, Springfield, MO 65804 | 2018-01-24 |
| 1295242626 | Matthew Crisp | Physical Therapist | 3252 E Independence St, Springfield, MO 65804 | 2018-01-08 |
| 1518491042 | Crystal Spangler | Dietitian, Registered | 1965 S Fremont Ave Ste 220, Springfield, MO 65804 | 2017-04-11 |
| 1588012033 | Jeffrey Williams | Pharmacist | 1235 E. Cherokee, Springfield, MO 65804 | 2016-05-25 |
| Find all providers in zip 65804 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669072823 | Rachel Westbrook | Nurse Practitioner | 1417 Burning Bush Ct, Springfield, IL 62712-7529 | 2020-10-27 |
| 1730786377 | Catherine Newman | Nurse Practitioner | 27124 La-42, Springfield, LA 70462 | 2020-10-07 |
| 1275146268 | Courtney Wilbern | Nurse Practitioner | 1200 W Centre St, Springfield, IL 62704-5812 | 2020-08-28 |
| 1588276240 | Andrew Ronald Mouser | Nurse Practitioner | 607 Prospect Rd, Springfield, PA 19064-2819 | 2020-08-23 |
| 1821609082 | William Coleman Bryant | Nurse Practitioner | 5552 W Longleaf Dr, Springfield, MO 65802-7834 | 2020-08-12 |
| 1386254399 | Ashley Lynn Murray | Nurse Practitioner | 2443 E Greenwood St, Springfield, MO 65804-3907 | 2020-08-04 |
| 1679182281 | Erica Gail Hunt | Nurse Practitioner | 2813 Haverford Rd, Springfield, IL 62704-4267 | 2020-07-29 |
| 1063020063 | Gage Azeez | Nurse Practitioner | 46 Timber Ln, Springfield, MA 01119-2828 | 2020-07-16 |
| 1033737440 | Janne L Nicholson | Nurse Practitioner | 8360 Dunham Ct Apt G, Springfield, VA 22152-1122 | 2020-07-13 |
| 1922623156 | Amanda E Hildebrand | Nurse Practitioner | 3370 Carman Ave, Springfield, IL 62703-4642 | 2020-06-12 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65804 |
Please comment or provide details below to improve the information on MRS. SHELLEY ANN BIRD.
| 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.