Marilou Shreve, DNP, APN

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

A01589 Issued in AR

Practice address

900 S 52ND St
200
Rogers, AR 72758-8637

Phone

(479) 254-1100

NPI assigned

Sep 6, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1125964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463097600000",
    "number": "1619961646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 NW C ST",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727124747",
            "telephone_number": "479-422-5250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 S 52ND ST",
            "address_2": "200",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588637",
            "telephone_number": "479-254-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHREVE",
        "first_name": "MARILOU",
        "credential": "DNP, APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-06",
        "last_updated": "2016-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AR",
            "license": "A01589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146089758",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie Shields, RN
• Stephanie Ann Shinabery, CRNA
• Shona Palmer PHD PA
• Jon Everett Shoppach, MD
• Katherine Suzanne Short, PTA
• Chantel Shuler
• Michael Jed Shulman, MD
• Rachel Siemens
• Taylor Rene' Sierocuk, AGACNP
• Elizabeth Paige Sikes, MS, BCBA

• Pediatric Nurse Practitioner in Rogers, AR
• Providers in Rogers, AR by specialty
• Pediatric Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.

Verify at the official NPI Registry.