Individual provider Active NPI

William Thomas Shuffett

  • Counselor
  • Louisville, KY
National Provider Identifier
1851155840
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
276592 Issued in KY
Practice address
3934 Dixie Hwy Ste 201
Louisville, KY 40216-4163
Phone
(502) 709-5029
NPI assigned
Feb 9, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 276592 KY Primary

Addresses

Primary practice location

3934 Dixie Hwy Ste 201
Louisville, KY 40216-4163

Mailing address

3934 Dixie Hwy Ste 201
Louisville, KY 40216-4163
Phone (502) 709-5029

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
276592KYMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1707436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1851155840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3934 DIXIE HWY STE 201",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402164163",
            "telephone_number": "502-709-5029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3934 DIXIE HWY STE 201",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402164163",
            "telephone_number": "502-709-5029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUFFETT",
        "first_name": "WILLIAM",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-09",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "KY",
            "license": "276592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; 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.