Active NPI
Shirley Ann George, RN
- Critical Care Medicine Registered Nurse
- Florissant, MO
National Provider Identifier
1245476126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine Registered Nurse
- License
- 2001022905
- Practice address
- 4233 Caballo Crossing Dr
Florissant, MO 63034-3495 - Phone
- (314) 830-4970
- Fax
- (314) 830-4970
- NPI assigned
- Dec 26, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | 2001022905 | MO | Primary |
Addresses
Primary practice location
4233 Caballo Crossing Dr
Florissant, MO 63034-3495
Mailing address
4233 Caballo Crossing Dr
Florissant, MO 63034-3495
Phone (314) 830-4970
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2001022905 | MO | MD | Critical Care Medicine Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1230249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1230249600000",
"number": "1245476126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4233 CABALLO CROSSING DR",
"city": "FLORISSANT",
"state": "MO",
"postal_code": "630343495",
"telephone_number": "314-830-4970",
"fax_number": "314-830-4970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4233 CABALLO CROSSING DR",
"city": "FLORISSANT",
"state": "MO",
"postal_code": "630343495",
"telephone_number": "314-830-4970",
"fax_number": "314-830-4970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEORGE",
"first_name": "SHIRLEY",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-26",
"last_updated": "2008-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "MO",
"license": "2001022905",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Florissant, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.