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MRS. SUSAN ASHLEY SHIVELY CRNFA, MSN, FNP-C
NPI 1972656379
Nurse Practitioner - Family in Campbellsville, KY

Active since January 19, 2007
803 LEBANON AVE, CAMPBELLSVILLE, KY 42718(270) 465-2521 Get Directions Write a Review

NPPES record last updated: April 28, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Susan Ashley Shively Crnfa, Msn, Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. SUSAN ASHLEY SHIVELY CRNFA, MSN, FNP-C (NPI 1972656379) is an individual family provider in Campbellsville, Kentucky, licensed in Kentucky (3004973) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1972656379
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. SUSAN ASHLEY SHIVELYCredential: CRNFA, MSN, FNP-C
Location Address803 LEBANON AVECampbellsville, KY 42718-1809
Mailing Address803 Lebanon AveCampbellsville, KY 42718-1809 · (270) 465-2521 · Fax (270) 789-1756
Phone(270) 465-2521
Sole ProprietorYes
Enumeration DateJanuary 19, 2007
Last NPPES UpdateApril 28, 2011
✔ NPI 1972656379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in KY · 3004973
803 LEBANON AVE, Campbellsville, KY 42718
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Other Identifiers 2

Medicare PIN00242001KY
Medicaid7100001600KY

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Shively's NPI number?

The NPI number for Susan Shively is 1972656379. It was assigned to this individual provider in the NPPES registry on January 19, 2007.

Where is Susan Shively located?

Susan Shively practices at 803 Lebanon Ave, Campbellsville, KY 42718. The listed phone number is (270) 465-2521.

What is Susan Shively's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Susan Shively was last updated on April 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.