Active NPI
Shiphrah Aldora Alicia Williams-Evans, PHD, APRN, BC
- Psychiatric/Mental Health Nurse Practitioner
- Silver City, NM
National Provider Identifier
1619907979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 59284
- Practice address
- 3200 32ND Street Byp
Silver City, NM 88061-7802 - Phone
- (575) 597-2650
- Fax
- (575) 597-2651
- NPI assigned
- Jul 3, 2006
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 59284 | NM | Primary |
Addresses
Primary practice location
3200 32ND Street Byp
Silver City, NM 88061-7802
Mailing address
530 De Moss St
Lordsburg, NM 88045-2617
Phone (918) 991-5748
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 96306068 | Medicaid | NM |
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
- Nurse Practitioner, Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pawnee IHS Pharmacy | Past | Accepting new patients | |
| Pawhuska IHS Pharmacy | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Pawhuska, OK
- NPI 1952303190
-
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Pawnee, OK
- NPI 1124178017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597881600000",
"number": "1619907979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "530 DE MOSS ST",
"city": "LORDSBURG",
"state": "NM",
"postal_code": "880452617",
"telephone_number": "918-991-5748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 32ND STREET BYP",
"city": "SILVER CITY",
"state": "NM",
"postal_code": "880617802",
"telephone_number": "575-597-2650",
"fax_number": "575-597-2651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS-EVANS",
"first_name": "SHIPHRAH",
"middle_name": "ALDORA ALICIA",
"credential": "PHD, APRN, BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-03",
"last_updated": "2020-08-20",
"certification_date": "2020-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NM",
"license": "59284",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "96306068",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Silver City, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.