Active NPI
Hilary Ann Shuffett, P.A.
- Physician Assistant
- Liberty, KY
National Provider Identifier
1477689172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA1017
- Practice address
- 112 Liberty SQ
Liberty, KY 42539-3392 - Phone
- (606) 787-5044
- Fax
- (606) 787-5029
- NPI assigned
- Feb 26, 2007
- Last updated
- Jun 15, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA1017 | KY | Primary |
Addresses
Primary practice location
112 Liberty SQ
Liberty, KY 42539-3392
Mailing address
112 Liberty SQ
Liberty, KY 42539-3392
Phone (606) 787-5044
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA1017 | KY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465948800000",
"number": "1477689172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 LIBERTY SQ",
"city": "LIBERTY",
"state": "KY",
"postal_code": "425393392",
"telephone_number": "606-787-5044",
"fax_number": "606-787-5029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 LIBERTY SQ",
"city": "LIBERTY",
"state": "KY",
"postal_code": "425393392",
"telephone_number": "606-787-5044",
"fax_number": "606-787-5029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHUFFETT",
"first_name": "HILARY",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-26",
"last_updated": "2016-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KY",
"license": "PA1017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Liberty, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.