Kelli Nicole Shurbet, RN

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

686939 Issued in TX

Practice address

111 E 10TH St
Plainview, TX 79072-7361

Phone

(806) 293-1359

NPI assigned

Jun 11, 2007

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

Credentials

Registered Nurse

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.

• City of Plainview

  • Public Health or Welfare Agency
  • Plainview, TX
  • NPI 1780739904
  NPD (past) Authorized official

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497959969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 5 BOX 17",
            "city": "FLOYDADA",
            "state": "TX",
            "postal_code": "792359002",
            "telephone_number": "806-293-1359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E 10TH ST",
            "city": "PLAINVIEW",
            "state": "TX",
            "postal_code": "790727361",
            "telephone_number": "806-293-1359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHURBET",
        "first_name": "KELLI",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "TX",
            "license": "686939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sera Rose Assisted Living
• Sergio Lara MD PA
• Ronald Shaffer, CST, CSFA
• Tariq S Shamsi, M.D.
• Luke Sherman, OD
• Sidney Ontai MD Association
• Matthew Silbaugh
• John Simonds, M.D.
• Charles R. Smith, D.O.
• Kelly Ann Smith, LPC

• Administrator Registered Nurse in Plainview, TX
• Providers in Plainview, TX by specialty
• Administrator Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.