Ressie Louise Shupe, A.C.N.P.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

0015000552 Issued in VA

Practice address

2602 Franklin Rd SW
Roanoke, VA 24014-1010

Phone

(540) 344-1400

Fax

(540) 344-7133

NPI assigned

Dec 6, 2005

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463529600000",
    "number": "1962486563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2602 FRANKLIN RD SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240141010",
            "telephone_number": "540-344-1400",
            "fax_number": "540-344-7133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2602 FRANKLIN RD SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240141010",
            "telephone_number": "540-344-1400",
            "fax_number": "540-344-7133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUPE",
        "first_name": "RESSIE",
        "middle_name": "LOUISE",
        "credential": "A.C.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-06",
        "last_updated": "2016-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "VA",
            "license": "0015000552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Shull, NP
• Harrison Johnston Shull III
• Howard W. Shumate, MS, LPC, CSAC, MAC
• Chad Shupe
• Melissa Shupe, LPTA
• Sergey Shvygin, MD
• Bailie Sidhu, M.S. CCC-SLP
• Richard Joseph Sidor, PT
• Vincas Sidrys, DMD
• Tanya L Sigmon, P.A.

• Nephrology Physician in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Nephrology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2016; 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.