Shawna Leanne Bird

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3007010 Issued in KY

Practice address

9510 Ormsby Station Rd Ste 100
Louisville, KY 40223-4082

Phone

(502) 327-1000

Fax

(855) 632-8329

NPI assigned

Sep 28, 2011

Last updated

Sep 28, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physicians Health Group of Kentucky PLLCGroup PAC ID 4385966894, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Physicians Health Group of Kentucky, PLLC

  • Physical Medicine & Rehabilitation Physician
  • Lexington, KY
  • NPI 1437555299

  Family

  Medicare reassignment Care Compare group NPD
• Physicians Health Group of Kentucky, PLLC

  • Durable Medical Equipment & Medical Supplies
  • Louisville, KY
  • NPI 1104343490
  NPD
• Horizon Healthcare Center LLC

  dba Paragon Family Practice

  • Nurse Practitioner
  • Lexington, KY
  • NPI 1932149622
  NPD (past)
• Lexington Primary Care LLC

  • Family Medicine Physician
  • Lexington, KY
  • NPI 1194741017
  NPD (past)
• Madison Primary Care, LLC

  • Rural Health Clinic/Center
  • Richmond, KY
  • NPI 1730473745

  Family

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1317168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538092800000",
    "number": "1013290816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9510 ORMSBY STATION RD STE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402234082",
            "telephone_number": "502-327-1000",
            "fax_number": "855-632-8329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9510 ORMSBY STATION RD STE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402234082",
            "telephone_number": "502-327-1000",
            "fax_number": "855-632-8329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRD",
        "first_name": "SHAWNA",
        "middle_name": "LEANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-28",
        "last_updated": "2018-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3007010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12292803",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100193440",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN",
            "identifier": "1107163",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shelby Catherine Birchler, M.ED.
• Donald Bird, APSS
• Lara Elizabeth Bird, APRN
• Lindsey Renee Bird, APRN
• Russell J Bird, MD
• David Birdwhistell, LCSW
• Abby Kaelin Birk
• Benjamin William Birkby, PSY.D.
• Cynthia Suzanne Birkhead
• Birkhead, Eckman & Scharf, P.S.C.

• Family Nurse Practitioner in Louisville, KY
• Providers in Louisville, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.