Bethany Shively, APRN is a
Nurse Practitioner based in Simpsonville, Kentucky. Bethany Shively is licensed to practice in Kentucky (license number 3009535) and her current practice location is
2156 Todds Point Road, Simpsonville, Kentucky. She can be reached at her office (for appointments etc.) via phone at
(502) 836-1450.
NPI number for Bethany Shively is 1396112546 and her current mailing address is 2156 Todds Point Rd, Simpsonville, Kentucky. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1396112546.
Provider's Profile
Full Name | Bethany Shively |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 2156 Todds Point Road, Simpsonville, Kentucky |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1396112546
- Provider Enumeration Date: 08/24/2015
- Last Update Date: 02/17/2021
Medical Identifiers
Medical identifiers for Bethany Shively such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1396112546 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 3009535 (Kentucky) | Secondary |
363L00000X | Nurse Practitioner | 3009535 (Kentucky) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bethany Shively is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Bethany Shively, APRN 2156 Todds Point Rd, Simpsonville, KY 40067-6545 Ph: (502) 836-1450 | Bethany Shively, APRN 2156 Todds Point Road, Simpsonville, KY 40067 Ph: (502) 836-1450 |
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