Individual provider Active NPI

Shai Lev-King

  • Family Nurse Practitioner
  • Greenfield, MA
National Provider Identifier
1639806987
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2363462 Issued in MA
Practice address
329 Conway St
Greenfield, MA 01301-1521
Phone
(413) 774-6301
NPI assigned
Aug 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN2363462 MA Primary

Addresses

Primary practice location

329 Conway St
Greenfield, MA 01301-1521

Mailing address

329 Conway St
Greenfield, MA 01301-1521
Phone (413) 774-6301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20230119001985 MA Practitioner - Nurse Practitioner 8921479494 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Valley Medical Group PCGroup PAC ID 2365348851, 106 clinicians

Practice addresses (Care Compare)

329 Conway St
Greenfield, MA 01301-1521
Phone (413) 774-6301

Hospital & facility affiliations

  • Pioneer Valley Hospice & Palliative Care Hospice, Greenfield, MA, CCN 221561
  • Baystate Franklin Medical Center Hospital, Greenfield, MA, CCN 220016
  • Cooley Dickinson Hospital Inc,the Hospital, Northampton, MA, CCN 220015

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2363462MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Medical Group, P.C. Family CurrentSince Jan 9, 2023 Accepting new patients
Valley Medical Group, P.C. CurrentSince Jan 9, 2023 Accepting new patients

Locations

329 Conway St
Greenfield, MA 01301
Phone (413) 774-6301

70 Main St
Northampton, MA 01062
Phone (413) 586-8400

Interoperability endpoints

  • Direct secure messaging: shai.lev.1@55.direct.athenahealth.com

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1659657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1639806987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 CONWAY ST",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013011521",
            "telephone_number": "413-774-6301",
            "fax_number": "866-644-0871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 CONWAY ST",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013011521",
            "telephone_number": "413-774-6301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEV-KING",
        "first_name": "SHAI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-05",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2363462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, MA

Sources for this page

Verify at the official NPI Registry.