What is Shane Lively's NPI number?

Shane Lively's National Provider Identifier (NPI) is 1396473708, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Shane Lively's specialty?

Shane Lively is listed in the NPPES registry with a primary specialty of Peer Specialist (Other Service Providers).

Where is Shane Lively located?

Shane Lively's practice location on file with NPPES is 2333 Maccorkle Ave, Saint Albans, WV 25177-2073.

What is Shane Lively's phone number?

The practice phone number listed in the NPPES registry for Shane Lively is (681) 378-5026.

Is Shane Lively's NPI active?

Yes — Shane Lively's NPI (1396473708) is active in the NPPES registry as of the last update on 2022-08-12.

IndividualActive

Shane Lively

NPI 1396473708 · Peer Specialist · Saint Albans, WV

Shane Lively is a Peer Specialist provider in Saint Albans, WV (NPI 1396473708).

Provider details

NPI number: 1396473708
Entity type: Individual
Primary specialty: Peer SpecialistOther Service Providers
Sex: Male
Sole proprietor: No

Specialties & taxonomies

Peer SpecialistPrimary175T00000X
Other Service Providers

Profile Score

Established profile(53/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
3 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

2333 Maccorkle Ave

Saint Albans, WV 25177-2073

Phone: (681) 378-5026

Street-level locationGet directions

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Mailing address