Shannon Martha Herald, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

5413P Issued in KY

Practice address

101 Town and Country LN Ste 100
Hazard, KY 41701-9524

Phone

(606) 439-1300

Fax

(606) 439-1400

NPI assigned

Nov 6, 2007

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

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, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Primary Care Centers of Eastern Kentucky LLCGroup PAC ID 3971415993, 46 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Master of Arts, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HCJFBA

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

• Primary Care Centers of Eastern Kentucky, LLC

  • Rural Health Clinic/Center
  • Hyden, KY
  • NPI 1891841961
  Medicare reassignment Care Compare group NPD
• Primary Care Centers of Eastern Kentucky, LLC

  • Rural Health Clinic/Center
  • Scuddy, KY
  • NPI 1184676314
  NPD
• Primary Care Centers of Eastern Kentucky, LLC

  • Rural Health Clinic/Center
  • Hindman, KY
  • NPI 1356395198
  NPD
• Primary Care Centers of Eastern Kentucky, LLC

  • Rural Health Clinic/Center
  • Whitesburg, KY
  • NPI 1366227555
  NPD
• Primary Care Centers of Eastern Kentucky, LLC

  • Rural Health Clinic/Center
  • Hazard, KY
  • NPI 1942275805
  NPD
• Primary Care Centers of Eastern Kentucky, LLC

  • General Practice Dentistry
  • Hazard, KY
  • NPI 1598930026
  NPD (past)

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1114107307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1988",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417021988",
            "telephone_number": "606-435-7642",
            "fax_number": "606-436-5282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 TOWN AND COUNTRY LN STE 100",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417019524",
            "telephone_number": "606-439-1300",
            "fax_number": "606-439-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERALD",
        "first_name": "SHANNON",
        "middle_name": "MARTHA",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-06",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "5413P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Herald
• Christie Herald, CFNP
• Dwayne Herald
• Jamie Herald
• Michael Paul Herald, PHARMD
• Herbal Secrets
• Betsy Herslip
• Esther Herslip
• Meagan Lynelle Hicks, DPT
• Deneen Higgins, CRNA

• Psychiatric/Mental Health Nurse Practitioner in Hazard, KY
• Providers in Hazard, KY by specialty
• Psychiatric/Mental Health Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; 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.