Stephanie Shirey

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

11218-33 Issued in WI

Practice address

4635 W College Ave
Appleton, WI 54914-8507

Phone

(920) 750-7000

NPI assigned

Mar 24, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Catalpa Health

  • Community/Behavioral Health Agency
  • Appleton, WI
  • NPI 1386992451
  NPD
• Catalpa Health

  • Adolescent and Children Mental Health Clinic/Center
  • Appleton, WI
  • NPI 1770967762
  NPD

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

{
    "created_epoch": "1458777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641513600000",
    "number": "1043672504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4635 W COLLEGE AVE",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549148507",
            "telephone_number": "920-750-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4635 W COLLEGE AVE",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549148507",
            "telephone_number": "920-750-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIREY",
        "first_name": "STEPHANIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-24",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "LA",
            "license": "RN148353",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "WI",
            "license": "198941-30",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WI",
            "license": "11218-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zaheeruddin Sheikh, MD
• Curtis P Sheldon, CRNA, MS APNA
• Kathleen J Sheridan, APNP
• Sherman Counseling Management, S.C. (Sherman Counseling Management)
• David Shinkunas, DO
• Paul S Shoberg, DO
• Cheryl Lynn Shockey, R.D., M.S.
• Shopko Institutional Care Services Co LLC (Shopko RxCare)
• Shopko Stores Operating Co LLC (ShopKo Optical 504)
• Shopko Stores Operating Co LLC (ShopKo Pharmacy 505)

• Psychiatric/Mental Health Nurse Practitioner in Appleton, WI
• Providers in Appleton, WI by specialty
• Psychiatric/Mental Health Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2022; 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.