Judy Ann Shives, NP-C

Nurse Practitioner, Adult Health in Winston Salem, NC. Individual provider (NPI-1).

NPI number1457543365

StatusActive

Last updated in NPPESAug 14, 2007

Details

NPI: 1457543365
Entity type: Individual (NPI-1)
Name: Ms. Judy Ann Shives
Credential: NP-C
Sex: Female
Sole proprietor: No
Enumeration date: Aug 14, 2007
Last updated: Aug 14, 2007

Medicare and OIG

Medicare enrolled (PECOS): Not in the Medicare enrollment file
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
363LA2200X	Nurse Practitioner, Adult Health	122798	NC	Yes

Practice location

1100 Reynolds Blvd
Winston Salem, NC 27105-3400

Phone 336-896-4475 · Fax 336-896-4481

Mailing address

1100 Reynolds Blvd
Winston Salem, NC 27105-3400

Phone 336-896-4475 · Fax 336-896-4481

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Adult Health Nurse Practitioner providers in Winston Salem, NC

All 37 Adult Health Nurse Practitioner providers in Winston Salem · All 11,775 providers in Winston Salem

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