Lea A. Shivley, ARNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN001720 Issued in NV

Practice address

1001 Rio Vista Dr
Fallon, NV 89406-5463

Phone

(775) 423-3634

NPI assigned

May 24, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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

Practice roles

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.

• Pawnee IHS Pharmacy

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Pawnee, OK
  • NPI 1124178017
  NPD (past)
• Via Christi Immediate Care, Mother Mary Anne Inc.

  • Clinic/Center
  • Wichita, KS
  • NPI 1477692051
  NPD (past)

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401840000000",
    "number": "1659582260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 RIO VISTA DR",
            "city": "FALLON",
            "state": "NV",
            "postal_code": "894065463",
            "telephone_number": "775-423-3634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 RIO VISTA DR",
            "city": "FALLON",
            "state": "NV",
            "postal_code": "894065463",
            "telephone_number": "775-423-3634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIVLEY",
        "first_name": "LEA",
        "middle_name": "A.",
        "name_prefix": "Ms.",
        "credential": "ARNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2014-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "45900",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APRN001720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "APRN001720",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Valerie Kate Segura
• Serenity Behavioral Health LLC
• Edward Shaw
• John Chadwick Shepphird, D.M.D
• Sharon Ann Shirley, LPN
• Patricia Lynn Sicherman, RN
• Steven David Sicherman, B.S.
• Nathan Silva, DPT
• Silver State Geriatrics LLC
• James P Smerdon, D.M.D.

• Family Nurse Practitioner in Fallon, NV
• Providers in Fallon, NV by specialty
• Family Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2014; 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.