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Deactivated NPI 1033170626 Deactivated / Inactive NPI Female Practitioner

Judith Loretta Shirley , REG NURSE PRACTITIO

Nurse Practitioner • Mountain View, AR

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Judith Shirley has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 31, 2006
NPI Deactivation Date August 03, 2017
Total Practice Duration ~11 Years of Practice (2006 – 2017)

Professional Overview & Biography Verified Profile Summary

Judith Shirley, REG NURSE PRACTITIO was a registered Nurse Practitioner practicing in Mountain View, AR. Throughout an active medical career spanning 11 years, Judith Shirley provided care at the practice location at 204 WHITFIELD AVE until profile deactivation on 2017-08-03.

Practice Location & Contact Primary Location

Practice Address

204 Whitfield Ave

Mountain View, AR 725609160

Telephone 8702693308

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Mountain View, AR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.0 Yrs
State Avg: 11.2 Yrs
Regional Practice Density
3 Specialists

Practicing in Mountain View, AR (702 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License AR P01577

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 03, 2017

Record deactivated on August 03, 2017

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 204 WHITFIELD AVE, MOUNTAIN VIEW, AR 725609160 (Tel: 8702693308)

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Updated Business Mailing Address July 08, 2007

Registered at PO BOX 2548, MOUNTAIN VIEW, AR 725602548 (Tel: 8702696043)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JUDITH SHIRLEY, REG. NURSE PRACTITIO

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Nurse Practitioner (License #P01577 in AR)

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Initial NPI Registration & Enumeration March 31, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1033170626
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 31, 2006
Last Update: July 08, 2007
Deactivation Date: August 03, 2017

Mailing Address

Po Box 2548

Mountain View, AR 725602548

Phone: 8702696043

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.