Individual provider Active NPI

Beth R Shirley-Wookil

  • Registered Nurse
  • Las Vegas, NV
National Provider Identifier
1023888443
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN89264 Issued in NV
Practice address
5201 S Torrey Pines Dr Unit 1229
Las Vegas, NV 89118-0611
Phone
(702) 659-2346
NPI assigned
Jan 5, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Administrator Registered Nurse 163WA2000X RN89264 NV
Case Management Registered Nurse 163WC0400X RN89264 NV
Hospice Registered Nurse 163WH1000X NUMBERRN89264 NV
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X RN89264 NV Primary

Addresses

Primary practice location

5201 S Torrey Pines Dr Unit 1229
Las Vegas, NV 89118-0611

Mailing address

5201 S Torrey Pines Dr Unit 1229
Las Vegas, NV 89118-0611
Phone (702) 659-2346

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN89264NVMDCase Management Registered Nurse
NUMBERRN89264NVMDHospice Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1704412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1023888443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 S TORREY PINES DR UNIT 1229",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891180611",
            "telephone_number": "702-659-2346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 S TORREY PINES DR UNIT 1229",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891180611",
            "telephone_number": "702-659-2346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRLEY-WOOKIL",
        "first_name": "BETH",
        "middle_name": "R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-05",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "NV",
            "license": "RN89264",
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "NV",
            "license": "RN89264",
            "primary": false
        },
        {
            "code": "163WH1000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hospice",
            "state": "NV",
            "license": "NUMBERRN89264",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "NV",
            "license": "RN89264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; 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.