Crystal Shirk, MS, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

1366 Issued in NC

Practice address

707 N Cherokee Ave
Black Mountain, NC 28711-2909

Phone

(828) 989-8192

NPI assigned

Dec 23, 2009

Last updated

Dec 23, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1261526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261526400000",
    "number": "1376872267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 N CHEROKEE AVE",
            "city": "BLACK MOUNTAIN",
            "state": "NC",
            "postal_code": "287112909",
            "telephone_number": "828-669-7188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 N CHEROKEE AVE",
            "city": "BLACK MOUNTAIN",
            "state": "NC",
            "postal_code": "287112909",
            "telephone_number": "828-989-8192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRK",
        "first_name": "CRYSTAL",
        "credential": "MS, LAT, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-23",
        "last_updated": "2009-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NC",
            "license": "1366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Settlemyer, PHARMD
• Renee Patrice Shaffer, FNP-BC
• Mary Shamburger, LMBT
• Kathleen Bradley Shannon, M.A.
• Sarah M Sheehan
• Alanna Shivone, LMBT
• Clifford Neil Shulman, P.T.
• Anita H Slate, HIS
• Emily Anne Smith, LMBT
• Theresa Flynn Smith, MSW LCSW

• Athletic Trainer in Black Mountain, NC
• Providers in Black Mountain, NC by specialty
• Athletic Trainer in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2009; 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.