Individual provider Active NPI

Shelby Reeves, FNP-C

  • Family Nurse Practitioner
  • Starkville, MS
National Provider Identifier
1851905137
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
904128 Issued in MS
Practice address
900 Stark Rd
Starkville, MS 39759-3613
Phone
(662) 268-6278
Fax
(877) 355-6934
NPI assigned
Sep 3, 2020
Last updated
Oct 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 904128 MS Primary

Addresses

Primary practice location

900 Stark Rd
Starkville, MS 39759-3613

Mailing address

1181 Sherman Dr
Sturgis, MS 39769-9155
Phone (601) 941-6251

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201008003667 MS Practitioner - Nurse Practitioner 7113347352 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Triangle Urgent Care LLC Family CurrentSince Jul 14, 2024 Accepting new patients
Golden Triangle Urgent Care LLC Family CurrentSince Jul 14, 2024 Accepting new patients
Choctaw Regional Medical Center Current Accepting new patients
Midtown Medical and Wellness, LLC Current Accepting new patients

Locations

8613 MS Highway 12
Ackerman, MS 39735
Phone (662) 285-4400

14724 Highway 15 N
Louisville, MS 39339
Phone (662) 773-7500

500 Russell St
Ste 3
Starkville, MS 39759
Phone (662) 324-2244

Organizations & group practices 4

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": "1599091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1851905137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1181 SHERMAN DR",
            "city": "STURGIS",
            "state": "MS",
            "postal_code": "397699155",
            "telephone_number": "601-941-6251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 STARK RD",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397593613",
            "telephone_number": "662-268-6278",
            "fax_number": "877-355-6934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REEVES",
        "first_name": "SHELBY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-03",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "904128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Starkville, MS

Sources for this page

Verify at the official NPI Registry.