Shannon D Fyffe, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

3018611 Issued in KY

Practice address

147 N Highland Ave
Prestonsburg, KY 41653-7748

Phone

(502) 262-2882

NPI assigned

Jan 25, 2023

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

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": "1674604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1821704628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1241 HIGHWAY 469",
            "city": "MARTHA",
            "state": "KY",
            "postal_code": "411599023",
            "telephone_number": "606-471-4342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 N HIGHLAND AVE",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "416537748",
            "telephone_number": "502-262-2882"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "79 Sparrow St",
            "address_purpose": "LOCATION",
            "city": "Prestonsburg",
            "state": "KY",
            "postal_code": "416531336",
            "country_code": "US",
            "telephone_number": "502-262-2882",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FYFFE",
        "first_name": "SHANNON",
        "middle_name": "D",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-25",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3018611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tonia Fugate
• Keila Fulkerson, LPCC
• Karen Fuller
• Blake Fultz
• John Rowe Furcolow, M.D.
• Stephany Fyffe
• Lillian Renee Gabbard
• Sravani Gadde, MD
• Travis Gaines
• Beverly Gambill

• Psychiatric/Mental Health Nurse Practitioner in Prestonsburg, KY
• Providers in Prestonsburg, KY by specialty
• Psychiatric/Mental Health Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; 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.