Molly Kathleen Shifferd, MSN, RN, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2006022482 Issued in MO

Practice address

3130 Wisconsin Ave Ste 6
Joplin, MO 64804-2800

Phone

(417) 206-9300

Fax

(417) 206-9306

NPI assigned

Jul 19, 2007

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

Master of Science - Nursing, Nurse Practitioner, Registered Nurse

Interoperability endpoints

• Direct secure messaging: molly.shifferd.1@15122.direct.athenahealth.com

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568851200000",
    "number": "1891995759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 WISCONSIN AVE STE 6",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648042800",
            "telephone_number": "417-206-9300",
            "fax_number": "417-206-9306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 WISCONSIN AVE STE 6",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648042800",
            "telephone_number": "417-206-9300",
            "fax_number": "417-206-9306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIFFERD",
        "first_name": "MOLLY",
        "middle_name": "KATHLEEN",
        "credential": "MSN, RN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-19",
        "last_updated": "2019-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2006022482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles F Sherrod III, M.D.
• Chloe Aretta Sherwood
• Shield and Haven Therapy LLC
• Marcie M Shields, FNP-C
• Ross Andrew Shiels, MD
• Marie Shireman, PT
• Shoal Creek Foot and Ankle Center LLC
• Shoal Creek Foot and Ankle Center LLC
• Carson Slade Shockley
• Desiree Shofler

• Family Nurse Practitioner in Joplin, MO
• Providers in Joplin, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2019; 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.