Shi Mattison Hensley

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

808 S Jefferson St
Ava, MO 65608-5513

Phone

(417) 256-2570

NPI assigned

Sep 22, 2026

Last updated

Sep 22, 2026By the provider in NPPES

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

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

{
    "created_epoch": "1790035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1922910090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 S JEFFERSON ST",
            "city": "AVA",
            "state": "MO",
            "postal_code": "656085513",
            "telephone_number": "417-256-2570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 S JEFFERSON ST",
            "city": "AVA",
            "state": "MO",
            "postal_code": "656085513",
            "telephone_number": "417-256-2570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENSLEY",
        "first_name": "SHI",
        "middle_name": "MATTISON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-22",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Gentry, D.O.
• Connie Ann Grand, LICENSED PROFESSIONA
• Kammi L Grosse, RDH
• Alexandra Harrell
• Augusta Ellice Hays, MD
• Lacinda Kaye Higley, LMT
• Micah Nicole Hubbard, APRN, FNP-C
• Rebecca L Johnson, APN
• Candace K Jones, MSW, LCSW
• Ida N Junge, FNP

• Peer Specialist in Ava, MO
• Providers in Ava, MO by specialty
• Peer Specialist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.