Individual provider Active NPI

Shakira N Sanders, APRN

  • Family Nurse Practitioner
  • Paducah, KY
National Provider Identifier
1922550300
Registry record updated Feb 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3010832 Issued in KY
Practice address
2601 Kentucky Ave Ste 402
Paducah, KY 42003-3827
Phone
(270) 575-3113
Fax
(270) 575-3135
NPI assigned
Nov 1, 2016
Last updated
Feb 8, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2021

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 3010832 KY Primary

Addresses

Primary practice location

2601 Kentucky Ave Ste 402
Paducah, KY 42003-3827

Mailing address

2605 Kentucky Ave
Suite 306
Paducah, KY 42003-3800
Phone (270) 415-7653

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address state48390@bhkydirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20161130002545 KY Practitioner - Nurse Practitioner 6002196425 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

2603 Kentucky Ave
Suite 304
Paducah, KY 42003-3829
Phone (270) 415-4800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince Jan 9, 2017 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jan 9, 2017 Accepting new patients

Locations

2601 Kentucky Ave
Ste 301
Paducah, KY 42003
Phone (270) 575-3113

2601 Kentucky Ave
Ste 402
Paducah, KY 42003
Phone (270) 444-8477

2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800

2605 Kentucky Ave
Ste 306
Paducah, KY 42003
Phone (270) 415-7653

Interoperability endpoints

  • Direct secure messaging: state48390@bhkydirect.com

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1477958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612742400000",
    "number": "1922550300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 KENTUCKY AVE",
            "address_2": "SUITE 306",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420033800",
            "telephone_number": "270-415-7653",
            "fax_number": "270-575-8359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 KENTUCKY AVE STE 402",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420033827",
            "telephone_number": "270-575-3113",
            "fax_number": "270-575-3135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "SHAKIRA",
        "middle_name": "N",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-01",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3010832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "state48390@bhkydirect.com",
            "affiliation": "N",
            "address_1": "2601 Kentucky Ave Ste 402",
            "city": "Paducah",
            "state": "KY",
            "country_code": "US",
            "postal_code": "420033827",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

Verify at the official NPI Registry.