Kelsey Shirk

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0110005200 Issued in VA

Practice address

1603 Bayville St
Norfolk, VA 23503

Phone

(225) 250-7660

NPI assigned

Jan 29, 2016

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)

Enrolled

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

{
    "created_epoch": "1454025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1629436118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 BAYVILLE ST",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "23503",
            "telephone_number": "225-250-7660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 BAYVILLE ST",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "23503",
            "telephone_number": "225-250-7660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11803 Jefferson Ave",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236062565",
            "country_code": "US",
            "telephone_number": "757-736-9800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIRK",
        "first_name": "KELSEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-29",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110005200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Shimp
• Daniel Hean Shin
• Gary Shine, RN
• Katherine N Shipley, PA
• Angela Shirey, DMD
• Walker Shivar, DDS
• Amanda Katheryn Shockey, RN, ATC
• Melanie Shoemaker, MD
• Kyrie L Shomaker, MD
• Jamil Shoot, AEMP, LAC, LMT

• Physician Assistant in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.

Verify at the official NPI Registry.