Nancy A Shirk

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

962-132 Issued in WI

Practice address

107 Division St
Plymouth, WI 53073-1801

Phone

(920) 892-7788

Fax

(920) 893-5459

NPI assigned

Apr 23, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Nancy A Olson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003034216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8026 S 85TH ST",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531328571",
            "telephone_number": "414-425-4884",
            "fax_number": "414-525-2798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 DIVISION ST",
            "city": "PLYMOUTH",
            "state": "WI",
            "postal_code": "530731801",
            "telephone_number": "920-892-7788",
            "fax_number": "920-893-5459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRK",
        "first_name": "NANCY",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "962-132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "OLSON",
            "middle_name": "A",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Andrea S Seifert
• Kelly Senkbeil, PHARM.D.
• Sheri A Severson, LPC NCC
• Mark William Sharon, MD
• Holly Shaw
• Francesca Vittoria Shores, DPT
• Christine Ann Simon
• David R Smith, MD, MPH
• Rebecca Jean Smith, P.T.
• St Nicholas Hospital-Sisters of Third Order of St Francis

• Addiction (Substance Use Disorder) Counselor in Plymouth, WI
• Providers in Plymouth, WI by specialty
• Addiction (Substance Use Disorder) Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.