Active NPI
Shirley Ann Pearce, BS, LVN
- Licensed Vocational Nurse
- Alpine, TX
National Provider Identifier
1073717252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- 150978
- Practice address
- 708 E Brown St
Alpine, TX 79830-3208 - Phone
- (432) 837-3433
- Fax
- (432) 837-7309
- NPI assigned
- Jun 12, 2007
- Last updated
- Sep 25, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 150978 | TX | Primary |
| Sports Medicine (Neuromusculoskeletal Medicine) Physician | 204C00000X | L9626 | TX |
Addresses
Primary practice location
708 E Brown St
Alpine, TX 79830-3208
Mailing address
708 E Brown St
Alpine, TX 79830-3208
Phone (432) 837-3433
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 193110701 | Medicaid | TX | |
| 193110702 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150978 | TX | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222300800000",
"number": "1073717252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "708 E BROWN ST",
"city": "ALPINE",
"state": "TX",
"postal_code": "798303208",
"telephone_number": "432-837-3433",
"fax_number": "432-837-7309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "708 E BROWN ST",
"city": "ALPINE",
"state": "TX",
"postal_code": "798303208",
"telephone_number": "432-837-3433",
"fax_number": "432-837-7309"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEARCE",
"first_name": "SHIRLEY",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "BS, LVN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-12",
"last_updated": "2008-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "TX",
"license": "150978",
"primary": true
},
{
"code": "204C00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine, Sports Medicine",
"state": "TX",
"license": "L9626",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "193110701",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "193110702",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Alpine, TX
- Missionary Baptist Foundation of America, Inc (Alpine Valley Care Center)
- Gerhard Moeller, M.D.
- Mehran Moradi, DO
- Kelly Joann Newman, LMT, PLT
- David Frederik Nitschmann, MD
- Permain Basin Community Centers for MHMR
- Permian Basin Community Centers for Mental Health & Mental Retardation
- Phytex Rehabilitation, LLC (PhyTEx Big Bend)
- Kara Poole, CMHC
- Prescription Shop Inc (Prescription Shop)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.