Shelli Elaine Conyers-Votaw

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3245P Issued in KY

Practice address

710 Walter Reed Rd.
Burgin, KY 40310

Phone

(859) 239-7012

NPI assigned

Feb 22, 2007

Last updated

Jul 8, 2007By 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 names 1

• Shelli Elaine McKenzie Former name

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, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Taylor Regional Medical Group LLCGroup PAC ID 4880616622, 60 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Taylor Regional Hospital Hospital, Campbellsville, KY, CCN 180087
• Spring View Hospital Hospital, Lebanon, KY, CCN 180024

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22146/brand/1/csg/1/fhir/r4

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.

• Taylor Regional Medical Group, LLC

  dba Taylor Regional Hospital Care Center

  • Family Medicine Physician
  • Campbellsville, KY
  • NPI 1699030031
  Medicare reassignment Care Compare group NPD
• Brock Medical, LLC

  dba First Care Clinics, LLC

  • Nurse Practitioner
  • London, KY
  • NPI 1023379815
  Medicare reassignment NPD
• Spivey Medical, PLLC

  dba The Ready Care Clinic

  • Clinic/Center
  • Lawrenceburg, KY
  • NPI 1093199242
  Medicare reassignment NPD
• Fast Pace Kentucky PLLC

  dba Fast Pace Health

  • Rural Health Clinic/Center
  • Corbin, KY
  • NPI 1669256913
  NPD
• Taylor Regional Medical Group LLC

  dba Taylor Regional Hospital Health Clinic

  • Rural Health Clinic/Center
  • Campbellsville, KY
  • NPI 1073370185

  Family

  NPD
• Taylor Regional Medical Group,LLC

  dba Taylor Regional Hospital Counseling Center

  • Professional Counselor
  • Greensburg, KY
  • NPI 1093577561
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Spring View Hospital LLC

  dba Spring View Hospital

  • Rural Acute Care Hospital
  • Lebanon, KY
  • NPI 1780746420
  Care Compare affiliation
• Taylor County Hospital District Health Facilities Corporation

  • General Acute Care Hospital
  • Campbellsville, KY
  • NPI 1689761942
  Care Compare affiliation

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114052701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 SPEARS LN",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404228618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 WALTER REED RD.",
            "city": "BURGIN",
            "state": "KY",
            "postal_code": "40310",
            "telephone_number": "859-239-7012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONYERS-VOTAW",
        "first_name": "SHELLI",
        "middle_name": "ELAINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3245P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELLI",
            "last_name": "MCKENZIE",
            "middle_name": "ELAINE",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christa L Faulkner, LPCC

• Family Nurse Practitioner in Burgin, KY
• Providers in Burgin, 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 Jul 8, 2007; 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.