Shelley Renee Gover, ARNP

Primary specialty

Neonatal Nurse PractitionerTaxonomy code 363LN0000X

License

3004982 Issued in KY

Practice address

303 S 4TH St
Danville, KY 40422-2091

Phone

(859) 236-1080

Fax

(859) 236-1862

NPI assigned

Nov 14, 2007

Last updated

Jan 13, 2017By 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 identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: sgover18047@ukhcdirect.org

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.

• Pediatrix Medical Group of Kentucky PSC

  • Neonatal-Perinatal Medicine Physician
  • Lexington, KY
  • NPI 1821195520
  NPD (past)

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484265600000",
    "number": "1427238898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 S 4TH ST",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404222091",
            "telephone_number": "859-236-1080",
            "fax_number": "859-236-1862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 S 4TH ST",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404222091",
            "telephone_number": "859-236-1080",
            "fax_number": "859-236-1862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOVER",
        "first_name": "SHELLEY",
        "middle_name": "RENEE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-14",
        "last_updated": "2017-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "KY",
            "license": "3004982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN LICENSE",
            "identifier": "3004982",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Jackson Goodwin, PAC
• Ann Elizabeth Goodwin, LCSW
• Russel L Goodwin, M.D.
• Eric S Gosser, CRNA
• John H Gould, MS PSYCHOLOGY
• Amanda Elizabeth Grace, DMD
• Jack Cavanaugh Graham, DPT
• Georgeanna Grant, APRN
• Ashley Jean Michelle Grate, RN
• Matthew Graves, M.D.

• Neonatal Nurse Practitioner in Danville, KY
• Providers in Danville, KY by specialty
• Neonatal Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.