Kathy Sullivan Shirk, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

SP000055A Issued in PA

Practice address

403 Ford St
West Mifflin, PA 15122-4105

Phone

(412) 469-8649

NPI assigned

Sep 30, 2011

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

Nurse Practitioner

State licenses

Practice roles

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.

• Douglas F Clough MD & Associates PC

  • Internal Medicine Physician
  • Pittsburgh, PA
  • NPI 1740282318
  NPD (past)

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

{
    "created_epoch": "1317340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317340800000",
    "number": "1457635062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 FORD ST",
            "city": "WEST MIFFLIN",
            "state": "PA",
            "postal_code": "151224105",
            "telephone_number": "412-469-8649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 FORD ST",
            "city": "WEST MIFFLIN",
            "state": "PA",
            "postal_code": "151224105",
            "telephone_number": "412-469-8649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRK",
        "first_name": "KATHY",
        "middle_name": "SULLIVAN",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-30",
        "last_updated": "2011-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP000055A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sams East Inc
• Nadeen Yazan Sarsour, MD
• Christopher John Seebruck, M.D.
• Jeremy Walter Seman
• Ashley Shaheen
• Rupali Singh, MD
• Alex Chasulwa Sinkamba
• Cody Allan Smith, DO
• Jo Ellen Smith, LPC
• Teresa Sokolowski, CRNP

• Nurse Practitioner in West Mifflin, PA
• Providers in West Mifflin, PA by specialty
• Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2011; 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.