NPIMap

Individual provider Active NPI

Carol Shirkey, C.A.P.

  • Addiction (Substance Use Disorder) Counselor
  • Port Charlotte, FL
National Provider Identifier
1780089557
Registry record updated Oct 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
4678 Tamiami TRL Unit 105
Port Charlotte, FL 33980-2900
Phone
(941) 979-5023
Fax
(941) 979-5064
NPI assigned
Oct 23, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary

Addresses

Primary practice location

4678 Tamiami TRL Unit 105
Port Charlotte, FL 33980-2900

Mailing address

4678 Tamiami TRL Unit 105
Port Charlotte, FL 33980-2900
Phone (941) 979-5023

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeworks Substance Abuse Services LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1414022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414022400000",
    "number": "1780089557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4678 TAMIAMI TRL UNIT 105",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339802900",
            "telephone_number": "941-979-5023",
            "fax_number": "941-979-5064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4678 TAMIAMI TRL UNIT 105",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339802900",
            "telephone_number": "941-979-5023",
            "fax_number": "941-979-5064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRKEY",
        "first_name": "CAROL",
        "credential": "C.A.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-23",
        "last_updated": "2014-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2014; 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.