Rebecca Shivley

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

807 S Oakwood Ave Apt 1
Beckley, WV 25801-5931

Phone

(681) 207-6927

NPI assigned

Mar 24, 2021

Last updated

Mar 24, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1376120733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 S OAKWOOD AVE APT 1",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258015931",
            "telephone_number": "681-207-6927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 S OAKWOOD AVE APT 1",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258015931",
            "telephone_number": "681-207-6927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIVLEY",
        "first_name": "REBECCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-24",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheridan Healthcare of West Virginia, Inc.
• Pashi Sherpa
• Jawed Ali Sherwoni, PHARMACIST
• Taylor Shiflet, MS CCC-SLP
• David S Shimm, MD
• Wilma Shivley
• Ann Shoaff
• Leslie Rae Shockey, BACHELOR OF SCIENCE
• Billy Short
• Franklin P Short, D.C.

• Community Health Worker in Beckley, WV
• Providers in Beckley, WV by specialty
• Community Health Worker in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.