LAREE SHIVELY (NPI# 1487261228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487261228 |
| Entity Type | Individual |
| Full Name | LAREE SHIVELY |
| Credential | APRN |
| Practice Address |
1700 Old Lebanon Rd Campbellsville KY 42718-9615 |
| Practice Telephone | 2704653561 |
| Mailing Telephone | 2704653561 |
| Enumeration Date | 2020-09-25 |
| Last Update Date | 2020-10-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3015305 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1700 OLD LEBANON RD |
| City | CAMPBELLSVILLE |
| State | KY |
| Zip Code | 42718-9615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679576342 | Tanya M Hayes | Internal Medicine | 1700 Old Lebanon Rd, Campbellsville, KY 42718 | 2005-05-24 |
| 1508473968 | Michael Atcher | Nurse Anesthetist, Certified Registered | 1700 Old Lebanon Rd, Campbellsville, KY 42718-9615 | 2020-09-29 |
| 1104430297 | Maci Mcqueary | Nurse Practitioner | 1700 Old Lebanon Rd, Campbellsville, KY 42718-9615 | 2020-09-04 |
| 1861034787 | Ashlie Marie Aviles | Physician Assistant | 1700 Old Lebanon Rd, Campbellsville, KY 42718-9615 | 2019-10-11 |
| 1679926448 | Donald Emerson Dick | Physician Assistant | 1700 Old Lebanon Rd, Campbellsville, KY 42718-9615 | 2016-07-18 |
| 1205226933 | Taylor County Hospital District Health Facilities Corporation | Pharmacy | 1700 Old Lebanon Rd, Campbellsville, KY 42718-9615 | 2015-02-03 |
| 1689062036 | Andrew Hancock | Nurse Anesthetist, Certified Registered | 1700 Old Lebanon Rd, Campbellsville, KY 42718-9615 | 2015-01-07 |
| 1821405473 | Jo Lisa Gensley | Physician Assistant | 1700 Old Lebanon Rd, Campbellsville, KY 42718-9615 | 2014-07-15 |
| 1750652186 | Nicole Marie Juhasz | Nurse Anesthetist, Certified Registered | 1700 Old Lebanon Rd, Campbellsville, KY 42718-9615 | 2012-01-17 |
| 1467693812 | Carol G Kirtley | Massage Therapist | 1700 Old Lebanon Rd, Campbellsville, KY 42718-9615 | 2009-03-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619417763 | Heather Hastings | Dentist | 2065 Meadow Creek Rd, Campbellsville, KY 42718 | 2017-03-07 |
| 1487101804 | Amanda Rose Shepperd | Nurse Practitioner | 1846-1856 Old Lebanon Rd, Campbellsville, KY 42718 | 2016-09-01 |
| 1841660305 | Forefront Dermatology, S.c. | Dermatology | 105 Medical Park Dr Ste 1, Campbellsville, KY 42718 | 2015-09-28 |
| 1154790616 | Viktoria Krell | Counselor | 3020 Old Lebanon Road, Campbellsville, KY 42718 | 2015-09-15 |
| 1679977649 | Joy Trotter | Occupational Therapist | 121a Casey Street, Campbellsville, KY 42718 | 2014-10-20 |
| 1083022727 | Taylor Regional Medical Group, LLC | Physical Therapist | 73 Kingswood Dr Ste B, Campbellsville, KY 42718 | 2014-07-25 |
| 1235574831 | Rachael Maia Yates | Clinical Neuropsychologist | 50 Gene Cash Road, Campbellsville, KY 42718 | 2013-05-08 |
| 1255536579 | Elizabethtown Physical Therapy Psc | Clinic/Center | 315 East Broadway, Campbellsville, KY 42718 | 2007-06-18 |
| 1508900283 | Lake Cumberland District Health Department | Public Health or Welfare | 1880 N Bypass Road, Campbellsville, KY 42718 | 2007-02-16 |
| 1871639005 | Joseph William Segree | Optometrist | 725 Campbellsville Bypass, Campbellsville, KY 42718 | 2007-01-29 |
| Find all providers in zip 42718 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437756012 | Bethany Faye Sullivan | Nurse Practitioner | 4760 New Lebanon Rd, Campbellsville, KY 42718-9246 | 2020-10-06 |
| 1508425844 | Abby Carter | Nurse Practitioner | 796 W Broadway St, Campbellsville, KY 42718-2783 | 2019-06-11 |
| 1356809768 | Stacey C Greenwell-osborne | Nurse Practitioner | 138 Campbellsville Byp Ste 5, Campbellsville, KY 42718-8843 | 2019-03-05 |
| 1487101804 | Amanda Rose Shepperd | Nurse Practitioner | 1846-1856 Old Lebanon Rd, Campbellsville, KY 42718 | 2016-09-01 |
| 1841447059 | Mary J Morrison | Nurse Practitioner | 1327 E Broadway St Ste B, Campbellsville, KY 42718-1599 | 2008-08-20 |
| 1972656379 | Susan Ashley Shively | Nurse Practitioner | 803 Lebanon Ave, Campbellsville, KY 42718-1809 | 2007-01-19 |
| 1295810786 | Kimberly Rose Mckenna | Nurse Practitioner | 102 Winston Way Ste 5, Campbellsville, KY 42718-4991 | 2006-10-25 |
| 1477592293 | Melony Kay Cundiff-adams | Nurse Practitioner | 522 N Hoskins Ave, Campbellsville, KY 42718-2117 | 2006-06-06 |
| 1265039309 | Melissa Simpson | Nurse Practitioner | 102 Winston Way Ste 5, Campbellsville, KY 42718-4991 | 2020-10-01 |
| 1891300489 | Maria J Ford | Nurse Practitioner | 95 Kingswood Dr, Campbellsville, KY 42718-9604 | 2020-09-10 |
| Find all providers in CAMPBELLSVILLE | ||||
| City | CAMPBELLSVILLE |
| Zip Code | 42718 |
Please comment or provide details below to improve the information on LAREE SHIVELY.
| 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.