Active NPI
Shannon M Jeffrey, MSN, ARNP
- Nurse Practitioner
- Junction City, KS
National Provider Identifier
1598752743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- MJ1111880
- Practice address
- 361 Grant Ave
Junction City, KS 66441-4201 - Phone
- (785) 238-4711
- Fax
- (785) 238-4260
- NPI assigned
- Oct 3, 2005
- Last updated
- Nov 13, 2007
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | MJ1111880 | KS | Primary |
Addresses
Primary practice location
361 Grant Ave
Junction City, KS 66441-4201
Mailing address
PO Box 1107
Junction City, KS 66441-1107
Phone (785) 238-4711
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| JEFFREY | Other | KS | WPPA |
| 161261 | Other | KS | BLUE CROSS BLUE SHIELD |
| 0000161261 | Other | KS | TRICARE |
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
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MJ1111880 | KS | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194912000000",
"number": "1598752743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1107",
"city": "JUNCTION CITY",
"state": "KS",
"postal_code": "664411107",
"telephone_number": "785-238-4711",
"fax_number": "785-238-4260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "361 GRANT AVE",
"city": "JUNCTION CITY",
"state": "KS",
"postal_code": "664414201",
"telephone_number": "785-238-4711",
"fax_number": "785-238-4260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEFFREY",
"first_name": "SHANNON",
"middle_name": "M",
"name_prefix": "Miss",
"credential": "MSN, ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-03",
"last_updated": "2007-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KS",
"license": "MJ1111880",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WPPA",
"identifier": "JEFFREY",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "161261",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "0000161261",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Junction City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.