Individual provider Active NPI

Rhonda Shircliff, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Elizabethtown, KY
National Provider Identifier
1467557553
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1027793 Issued in KY
Practice address
204 N Main St
Elizabethtown, KY 42701-1417
Phone
(270) 360-1222
Fax
(270) 360-0333
NPI assigned
Sep 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1027793 KY Primary

Addresses

Primary practice location

204 N Main St
Elizabethtown, KY 42701-1417

Mailing address

204 N Main St
Elizabethtown, KY 42701-1417
Phone (270) 360-1222

Other identifiers 2

IdentifierTypeStateIssuer
204286000OtherKYMAGELLAN BEHAVIORAL HEALT
000000075252OtherKYBLUE CROSS/BLUE SHIELD

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20101101001145 KY Practitioner - Nurse Practitioner 7214121458 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Elizabethtown Partners in Counseling IncGroup PAC ID 7719911023, 6 clinicians

Practice addresses (Care Compare)

204 N Main St
Elizabethtown, KY 42701-1417
Phone (270) 360-1222

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1027793KYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabethtown Partners in Counseling Inc CurrentSince Sep 1, 1999 Accepting new patients

Locations

204 N Main St
Elizabethtown, KY 42701
Phone (270) 360-1222

Organizations & group practices 1

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": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467557553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 N MAIN ST",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427011417",
            "telephone_number": "270-360-1222",
            "fax_number": "270-360-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 N MAIN ST",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427011417",
            "telephone_number": "270-360-1222",
            "fax_number": "270-360-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRCLIFF",
        "first_name": "RHONDA",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "1027793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN BEHAVIORAL HEALT",
            "identifier": "204286000",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "000000075252",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, KY

Sources for this page

Verify at the official NPI Registry.