Individual provider Active NPI

Shelebra Kinney Bartley, PA-C

  • Physician Assistant
  • Pikeville, KY
National Provider Identifier
1790934347
Registry record updated Oct 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA1141 Issued in KY
Practice address
119 River Dr
Pikeville, KY 41501-1685
Phone
(606) 437-5500
NPI assigned
Sep 18, 2008
Last updated
Oct 23, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.