Kyra Shambaugh

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

100178 Issued in TN

Practice address

345 Compton Rd
Murfreesboro, TN 37130-1352

Phone

(615) 895-8850

NPI assigned

Mar 8, 2023

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

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": "1678233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1306546221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 COMPTON RD",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371301352",
            "telephone_number": "615-895-8850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 COMPTON RD",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371301352",
            "telephone_number": "615-895-8850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMBAUGH",
        "first_name": "KYRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-08",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "TN",
            "license": "100178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nidhi Rajendrakumar Shah, RN
• Pramod A Shah, MD
• Vishant Shah, MD
• Tommy Shahan, LCSW
• Kimberly Shain, D.M.D.
• Emma Jo Shamburger
• Kimberly Shannon, M.D.
• Anahita Sharghy
• Sundus Gamal Sharhan, PA-C
• Tammy Sharketti, WHNP

• Licensed Practical Nurse in Murfreesboro, TN
• Providers in Murfreesboro, TN by specialty
• Licensed Practical Nurse in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; 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.