NPIMap

Individual provider Active NPI

Ashley Murphy Shivers, F.N.P.

  • Family Nurse Practitioner
  • Morton, MS
National Provider Identifier
1184958753
Registry record updated Nov 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R865863 Issued in MS
Practice address
321 Highway 13 S
Morton, MS 39117-3353
Phone
(601) 732-8612
Fax
(601) 732-1957
NPI assigned
Sep 29, 2009
Last updated
Nov 9, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R865863 MS Primary

Addresses

Primary practice location

321 Highway 13 S
Morton, MS 39117-3353

Mailing address

PO Box 2065
Meridian, MS 39302-2065
Phone (601) 732-8612

Other identifiers 1

IdentifierTypeStateIssuer
04275896MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101201000313 MS Practitioner - Nurse Practitioner 8426244567 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

6455 Hwy 18
Brandon, MS 39042-7536
Phone (601) 824-9490

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Simpson Community Healthcare, Inc. CurrentSince May 1, 2014 Accepting new patients
Simpson Community Healthcare Inc. CurrentSince May 1, 2014 Accepting new patients
Puckett Family Medical Clinic Family Current Accepting new patients
Simpson Community Healthcare, Inc Past Accepting new patients
Simpson Community Healthcare, Inc Past Accepting new patients

Locations

6455 Highway 18
Brandon, MS 39042
Phone (601) 824-9490

1827C Simpson Highway 149
Mendenhall, MS 39114
Phone (601) 847-2424

1842 Simpson Highway 149
Mendenhall, MS 39114
Phone (601) 847-2221

Organizations & group practices 5

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1254182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383955200000",
    "number": "1184958753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2065",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393022065",
            "telephone_number": "601-732-8612",
            "fax_number": "601-732-8612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 HIGHWAY 13 S",
            "city": "MORTON",
            "state": "MS",
            "postal_code": "391173353",
            "telephone_number": "601-732-8612",
            "fax_number": "601-732-1957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIVERS",
        "first_name": "ASHLEY",
        "middle_name": "MURPHY",
        "name_prefix": "Mrs.",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-29",
        "last_updated": "2013-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R865863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04275896",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morton, MS

Sources for this page

Verify at the official NPI Registry.