MR. SHELBY T WHITE (NPI# 1720036890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720036890 |
| Entity Type | Individual |
| Full Name | MR. SHELBY T WHITE |
| Credential | CNFP |
| Practice Address |
102 West Freedrom Drive Liberty MS 39645-0511 |
| Mailing Address |
P. O. Box 511 Liberty MS 39645-0511 |
| Practice Telephone | 6016574326 |
| Practice Fax Number | 6016578867 |
| Mailing Telephone | 6016574326 |
| Mailing Fax Number | 6016578867 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2010-04-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | R861790 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 08923390 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124520697 | Shelby D White | Behavioral Analyst | 1300 E. Bradford Parkway, Springfield, MO 65804 | 2018-03-01 |
| 1619469566 | Shelby Anne White | Counselor | 152 Highway 7 S, Oxford, MS 38655-5392 | 2018-06-05 |
| 1396272803 | Shelby White | Counselor | 15 Union St Ste 200, Lawrence, MA 01840-1823 | 2017-05-15 |
| 1043767338 | Shelby White | Behavioral Analyst | 1430 Main St, Waltham, MA 02451-1623 | 2016-09-05 |
| 1952855587 | Shelby Elizabeth White | Physician Assistant | 777 Bannock St, Denver, CO 80204-4507 | 2016-08-11 |
| 1689024663 | Shelby White | Pharmacist | 500 W Fort St, 119, Boise, ID 83702-4501 | 2016-06-21 |
| 1750605374 | Shelby C. White | Pediatrics | 1204 W Main St, Charlottesville, VA 22903-2824 | 2010-03-25 |
| 1306849344 | Shelby T White | Orthopaedic Surgery | 333 S 3rd St, Ste B, Danville, KY 40422-2016 | 2005-05-23 |
| Street Address |
102 WEST FREEDROM DRIVE |
| City | LIBERTY |
| State | MS |
| Zip Code | 39645-0511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962563 | Cassycel Thigpen | Psychologist | 4894a Highway 584 Liberty, 4894a Highway 584 Liberty, Liberty, MS 39645 | 2020-11-05 |
| 1730566175 | John Mason Douglas | Nurse Practitioner | 102 W Freedom Dr, Liberty, MS 39645 | 2015-05-06 |
| 1407101140 | Weathers Chiropractic Center Pllc | Chiropractor | 128 West Broken St, Liberty, MS 39645 | 2012-07-18 |
| 1265646145 | Amite County School District | Registered Nurse | 3457 S. Greensburg Rd., Liberty, MS 39645 | 2007-05-09 |
| 1861428716 | Heather Johnson Harden | Nurse Practitioner | 138 Clinic Drive, Liberty, MS 39645 | 2006-06-23 |
| 1427567791 | Melanie Dawne Robertson | Nurse Practitioner | 102 W Freedom Dr, Liberty, MS 39645 | 2017-09-29 |
| 1295097269 | Karen Christine Ross | Nurse Practitioner | 102 West Freedom Drive, Liberty, MS 39645 | 2012-06-14 |
| 1528337367 | Care One Health | In Home Supportive Care | 171 East Main Street, Liberty, MS 39645 | 2011-12-23 |
| 1659693083 | Amite County Medical Services, Inc. | Clinic/Center | 102 West Freedom Drive, Liberty, MS 39645 | 2010-02-26 |
| 1639124183 | Liberty Drug Store, Inc. | Pharmacist | 110 E Main St, Liberty, MS 39645 | 2006-05-23 |
| Find all providers in zip 39645 | ||||
| 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 |
|---|---|---|---|---|
| 1275189508 | Jacklyn Elaine Spagnoletti | Nurse Practitioner | Casey County Primary Care, 187 Wolford Avenue, Liberty, KY 42539-3278 | 2019-08-13 |
| 1447281712 | Vickie L Marple | Nurse Practitioner | 108 Taylor St, Liberty, KY 42539-3160 | 2006-07-05 |
| 1427001551 | Celia M Duffett | Nurse Practitioner | 2521 Glenn Hendren Dr Ste 306, Liberty, MO 64068-3388 | 2006-05-18 |
| 1770117863 | Holley Noble | Nurse Practitioner | 2529 Glenn Hendren Dr Ste 202, Liberty, MO 64068-9602 | 2020-02-27 |
| 1376189605 | Lisa Buis | Nurse Practitioner | 511 Middleburg St, Liberty, KY 42539-3009 | 2019-11-21 |
| 1023530672 | Sadia Ali | Nurse Practitioner | 1133 W Kansas St, Liberty, MO 64068-2281 | 2017-07-14 |
| 1679093876 | Robin Leann Atwood | Nurse Practitioner | 84 Hustonville St, Liberty, KY 42539-3456 | 2017-06-20 |
| 1013364710 | Dale W Brock | Nurse Practitioner | 2800 Beaumont Ave, Suite A, Liberty, TX 77575-5126 | 2016-05-23 |
| 1912327040 | Lynn Elizabeth Lam | Nurse Practitioner | 504 N Greensboro St, Liberty, NC 27298-2601 | 2014-04-16 |
| 1730468018 | Camille V Williams | Nurse Practitioner | 109 N Blue Jay Dr, Liberty, MO 64068-1906 | 2011-08-04 |
| Find all providers in LIBERTY | ||||
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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.