Reese Alexander Shivers, MS, ATC, LAT

Primary specialty

Sports Medicine (Emergency Medicine) PhysicianTaxonomy code 207PS0010X

License

0000002011 Issued in TN

Practice address

1500 Greenland Dr
Murfreesboro, TN 37132-3100

Phone

(615) 904-8303

NPI assigned

Sep 17, 2019

Last updated

Sep 17, 2019By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1568678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568678400000",
    "number": "1427608926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MTSU PO BOX 77",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371320001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 GREENLAND DR",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371323100",
            "telephone_number": "615-904-8303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIVERS",
        "first_name": "REESE",
        "middle_name": "ALEXANDER",
        "name_prefix": "Mr.",
        "credential": "MS, ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-17",
        "last_updated": "2019-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PS0010X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Sports Medicine",
            "state": "TN",
            "license": "0000002011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tammy L Shipley, APN
• Shipra Putatunda MD
• Jacob Shireman, PT
• Megan Christine Shissler, AUD
• Rakhi Bhagwandas Shivani, PT
• Favian S Short Chunn
• Margaret Showalter, APN
• Shrinkty Medical Services, LLC (Shrinkty)
• Karen Regina Shubert, R.N.
• Emma Mercedes Shupp, FNP

• Sports Medicine (Emergency Medicine) Physician in Murfreesboro, TN
• Providers in Murfreesboro, TN by specialty
• Sports Medicine (Emergency Medicine) Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; 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.