BETHANY SHIVELY (NPI# 1396112546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396112546 |
| Entity Type | Individual |
| Full Name | BETHANY SHIVELY |
| Credential | APRN |
| Practice Address |
2156 Todds Point Road Simpsonville KY 40067 |
| Mailing Address |
2156 Todds Point Rd Simpsonville KY 40067-6545 |
| Practice Telephone | 5028361450 |
| Mailing Telephone | 5028361450 |
| Enumeration Date | 2015-08-24 |
| Last Update Date | 2015-08-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 3009535 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2156 TODDS POINT ROAD |
| City | SIMPSONVILLE |
| State | KY |
| Zip Code | 40067 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780943423 | Shelli Dry Pediatric Therapy, Pllc | Specialist | 40 Liza's Cir., Simpsonville, KY 40067 | 2012-05-15 |
| 1588808281 | Diane M Banic | Psychologist | 1219 Taylorwood Rd, Simpsonville, KY 40067 | 2009-04-24 |
| 1235261538 | Shelli Dry | Specialist | 40 Liza's Circle, Simpsonville, KY 40067 | 2007-03-12 |
| 1639579451 | Angels Behavior Services | Community/Behavioral Health | 25 Timberwood Dr, Simpsonville, KY 40067-5404 | 2014-08-28 |
| 1609051655 | Kara Baughman | Social Worker | 532 Reserves Ct, Simpsonville, KY 40067-5465 | 2008-01-08 |
| 1801434071 | Morgan Utterback | Counselor | 3180 Countryside Dr, Simpsonville, KY 40067-5615 | 2019-12-18 |
| 1922266113 | Kerrin Omer | Case Manager/Care Coordinator | 151 Old Stone Dr, Simpsonville, KY 40067-5658 | 2008-05-25 |
| 1417409681 | Servant Hearts LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 626 Crum Ct, Simpsonville, KY 40067-5662 | 2016-11-03 |
| 1821110909 | Amber D Durr | Counselor | 521 Todds Point Rd, Simpsonville, KY 40067-6418 | 2007-04-06 |
| 1447390687 | Kristin Huber | Registered Nurse | 4481 Aiken Rd, Simpsonville, KY 40067-6432 | 2007-02-07 |
| Find all providers in zip 40067 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629621503 | Veronica Mccanty Hunter | Nurse Practitioner | 103 Windy Meadow Way, Simpsonville, SC 29680-7065 | 2019-07-19 |
| 1649239880 | Evelyn Brantley Horne | Nurse Practitioner | 312 Harrison Bridge Rd, Simpsonville, SC 29680-7133 | 2006-03-17 |
| 1295709616 | Barbara Michelle Ritchey | Nurse Practitioner | 1320 Oak Ridge Ct, Simpsonville, KY 40067-6668 | 2006-02-14 |
| 1801452149 | Erin Marie Mcgeachie | Nurse Practitioner | 20 Powderhorn Rd, Simpsonville, SC 29681-3399 | 2019-05-13 |
| 1124490016 | Charity Manning | Nurse Practitioner | 3 Roseberry Ln, Simpsonville, SC 29681-3620 | 2015-10-30 |
| 1770628281 | Josie L Gregar | Nurse Practitioner | 717 Se Main St, Simpsonville, SC 29681-3237 | 2007-02-21 |
| 1083652762 | Debra M Gibbs | Nurse Practitioner | 717 Se Main St, Simpsonville, SC 29681-3237 | 2006-06-03 |
| 1013999879 | Merrylee Ann Mullinax | Nurse Practitioner | 3 Roseberry Ln, Simpsonville, SC 29681-3620 | 2005-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841891645 | K Tierney Lanham LLC | Nurse Practitioner | 6431 Regency Ln, Louisville, KY 40207-2309 | 2020-11-06 |
| 1922608827 | Heidi Denise Estes | Nurse Practitioner | 651 U.S. 31 W Bypass Ste 106, Bowling Green, KY 42101 | 2020-10-29 |
| 1124626700 | Mind & Body Wellness | Nurse Practitioner | 105 Bob White Path, Georgetown, KY 40324-6169 | 2020-10-15 |
| 1902404759 | Cassie Parr | Nurse Practitioner | 57 Melissa Branch Rd, Ary, KY 41712-8716 | 2020-10-14 |
| 1649877275 | Kristy Faith Statzer | Nurse Practitioner | 7533 Russellville Rd, Morgantown, KY 42261-9625 | 2020-10-06 |
| 1124635446 | Tori Crabtree | Nurse Practitioner | 1511 Valley Dr, Flatwoods, KY 41139-1889 | 2020-09-30 |
| 1518574235 | Margaret E Lambert | Nurse Practitioner | 2241 Abbeywood Rd, Lexington, KY 40515-1157 | 2020-09-27 |
| 1003422270 | Victoria Weis | Nurse Practitioner | 9301 Dayflower St Ste 100, Prospect, KY 40059-7585 | 2020-09-22 |
| 1598370694 | Candace Jones-martin | Nurse Practitioner | 111 Osbourne Way # 101, Georgetown, KY 40324-8004 | 2020-09-15 |
| 1588274161 | Karyn Michele Bentley | Nurse Practitioner | 210 Hoagland Hill Rd, Mount Washington, KY 40047-7583 | 2020-08-07 |
| Find all providers with the same taxonomy | ||||
| City | SIMPSONVILLE |
| Zip Code | 40067 |
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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.