Active NPI
Shelebra Kinney Bartley, PA-C
- Physician Assistant
- Pikeville, KY
National Provider Identifier
1790934347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA1141
- Practice address
- 119 River Dr
Pikeville, KY 41501-1685 - Phone
- (606) 437-5500
- NPI assigned
- Sep 18, 2008
- Last updated
- Oct 23, 2017
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA1141 | KY | Primary |
Addresses
Primary practice location
119 River Dr
Pikeville, KY 41501-1685
Mailing address
119 River Dr
Pikeville, KY 41501-1685
Phone (606) 437-5500
Other practice location 1
3205 Summit Square Pl
Suite 100
Lexington, KY 40509-2650
Phone (859) 335-9041
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bartley Medical Services | Current | Accepting new patients | |
| Marshall Emergency Services Associates, PLLC | Physician Assistant | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Primary Care Nurse Practitioner
- Pikeville, KY
- NPI 1730861410
-
- Emergency Medicine Physician
- Lexington, KY
- NPI 1891737185
Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508716800000",
"number": "1790934347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 RIVER DR",
"city": "PIKEVILLE",
"state": "KY",
"postal_code": "415011685",
"telephone_number": "606-437-5500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 RIVER DR",
"city": "PIKEVILLE",
"state": "KY",
"postal_code": "415011685",
"telephone_number": "606-437-5500"
}
],
"practiceLocations": [
{
"address_1": "3205 Summit Square Pl",
"address_2": "SUITE 100",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "KY",
"postal_code": "405092650",
"country_code": "US",
"telephone_number": "859-335-9041",
"fax_number": "859-335-9072",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BARTLEY",
"first_name": "SHELEBRA",
"middle_name": "KINNEY",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-18",
"last_updated": "2017-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KY",
"license": "PA1141",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pikeville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.