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KIMBERLY A SHAFER P.C. NPI 1316154693


NPI Information

NPI: 1316154693
Provider Name: KIMBERLY A SHAFER, P.C.

Other Name: KIMBERLY ANN SHAFER

Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
2601 WASSON RD
BIG SPRING, TX
ZIP 79720
Phone: (432) 714-4284
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KIMBERLY A SHAFER, P.C. is a family nurse practitioner in Big Spring, TX. KIMBERLY A SHAFER, P.C. NPI is 1316154693. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Kimberly Ann Shafer.

The provider's business location address is:

2601 WASSON RD
BIG SPRING, TX
ZIP 79720-416
Phone: (432) 714-4284
Fax: (432) 714-4286

The provider's authorized official is Kimberly Ann Shafer .
The authorized official title is Owner and has the following contact phone number (432) 714-4284.

The enumeration date for this NPI number is 5/17/2007 and was last updated on 7/2/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily578393TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1167375801MEDICAIDTEXAS
299PVOTHERTEXASBCBS TX
3S56924MEDICARE UPINTEXAS
400383WMEDICARE ID-TYPE UNSPECIFIEDTEXASGROUP
500383WMEDICARE PINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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