Individual provider Active NPI

Shelby Gifford, FNP

  • Family Nurse Practitioner
  • Danvers, MA
National Provider Identifier
1386161933
Registry record updated Apr 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2286706 Issued in MA
Practice address
480 Maple St
Danvers, MA 01923-4065
Phone
(978) 304-8380
Fax
(978) 304-8389
NPI assigned
Aug 24, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2022

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 RN2286706 MA Primary

Addresses

Primary practice location

480 Maple St
Danvers, MA 01923-4065

Mailing address

480 Maple St
Danvers, MA 01923-4065
Phone (978) 304-8380

Other practice location 1

14121 Parke Long Ct
Chantilly, VA 20151-1647
Phone (603) 531-9698

Other practice location 2

14 Hubbard Rd
Dover, NH 03820-4272
Phone (603) 531-9698

Other practice location 3

305 Gloucester Crossing Rd
Gloucester, MA 01930-2283
Phone (978) 381-7700

Other practice location 4

14121 Parke Long Ct
Chantilly, VA 20151-1647
Phone (603) 531-9698

Other names 1

  • Shelby Kaubris Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20171116002109 MA Practitioner - Nurse Practitioner 8224394721 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
91.98 of 100Reported as apm
Quality
76.59
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Associates of Greater Salem, Inc CurrentSince Sep 17, 2024 Accepting new patients
Beth Israel Lahey Health Primary Care Inc CurrentSince Dec 30, 2017 Accepting new patients

Locations

30 Tozer Rd
Beverly, MA 01915
Phone (978) 712-1100

30 Tozer Rd
Fl 1
Beverly, MA 01915

30 Tozer Rd
Ste 101
Beverly, MA 01915
Phone (978) 745-3050

480 Maple St
Danvers, MA 01923
Phone (978) 304-8380

305 Gloucester Crossing Rd
Gloucester, MA 01930
Phone (978) 304-8380

84 Highland Ave
Ste 101
Salem, MA 01970
Phone (978) 745-3050

15 Railroad Ave
South Hamilton, MA 01982
Phone (978) 468-7381

Interoperability endpoints

  • Direct secure messaging: shelby.gifford.1@2804.direct.athenahealth.com
  • Direct secure messaging: gifford.shelby.pags@direct.partners.masshiway.net
  • FHIR API: https://api.platform.athenahealth.com/10729/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/2804/brand/1/csg/1/fhir/r4
  • Direct secure messaging: sgifford32698@direct.bilh.masshiway.net

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1503532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649376000000",
    "number": "1386161933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 MAPLE ST",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019234065",
            "telephone_number": "978-304-8380",
            "fax_number": "978-304-8389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 MAPLE ST",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019234065",
            "telephone_number": "978-304-8380",
            "fax_number": "978-304-8389"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14121 Parke Long Ct",
            "address_purpose": "LOCATION",
            "city": "Chantilly",
            "state": "VA",
            "postal_code": "201511647",
            "country_code": "US",
            "telephone_number": "603-531-9698",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14 Hubbard Rd",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "NH",
            "postal_code": "038204272",
            "country_code": "US",
            "telephone_number": "603-531-9698",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "305 Gloucester Crossing Rd",
            "address_purpose": "LOCATION",
            "city": "Gloucester",
            "state": "MA",
            "postal_code": "019302283",
            "country_code": "US",
            "telephone_number": "978-381-7700",
            "fax_number": "978-381-7711",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14121 Parke Long Ct",
            "address_purpose": "LOCATION",
            "city": "Chantilly",
            "state": "VA",
            "postal_code": "201511647",
            "country_code": "US",
            "telephone_number": "603-531-9698",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIFFORD",
        "first_name": "SHELBY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-24",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2286706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELBY",
            "last_name": "KAUBRIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Danvers, MA

Sources for this page

Verify at the official NPI Registry.