Active NPI
Latoya Alecia Shirley, RN
- Registered Nurse
- Chamberlain, SD
National Provider Identifier
1396320594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- R054136
- Practice address
- 300 S Byron Blvd
Chamberlain, SD 57325-9741 - Phone
- (605) 234-6518
- NPI assigned
- Mar 10, 2021
- Last updated
- Mar 10, 2021
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R054136 | SD | Primary |
Addresses
Primary practice location
300 S Byron Blvd
Chamberlain, SD 57325-9741
Mailing address
300 S Byron Blvd
Chamberlain, SD 57325-9741
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000 | Other | NA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Na |
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 |
|---|---|---|---|
| R054136 | SD | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615334400000",
"number": "1396320594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 S BYRON BLVD",
"city": "CHAMBERLAIN",
"state": "SD",
"postal_code": "573259741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 S BYRON BLVD",
"city": "CHAMBERLAIN",
"state": "SD",
"postal_code": "573259741",
"telephone_number": "605-234-6518"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIRLEY",
"first_name": "LATOYA",
"middle_name": "ALECIA",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-10",
"last_updated": "2021-03-10",
"certification_date": "2021-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "SD",
"license": "R054136",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NA",
"identifier": "0000",
"state": null
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Na",
"affiliation": "N",
"address_1": "300 S Byron Blvd",
"city": "Chamberlain",
"state": "SD",
"country_code": "US",
"postal_code": "573259741",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Chamberlain, SD
- Sanford Home Health (Sanford Visiting Nurses Association)
- Sanford Medical Center (Sanford USD Medical Center - Chamberlain Dialysis)
- Brooke Schomp, D.C., B.S.
- Emily Selthun, ATC
- Kala M Shepherd, CNP
- Kathryn Sims
- Makenzie Jade Sorensen, RN
- St Josephs Indian School
- Starr Trakk LLC (Riverview Retirement Home)
- Joel D Stauss, CRNA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.