Nathaniel Dupree Shirley, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN166753 Issued in AZ

Practice address

5955 Zeamer Ave
Elmendorf AFB, AK 99506-3702

Phone

(907) 580-8158

NPI assigned

Mar 28, 2024

Sex

Male

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

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

{
    "created_epoch": "1711584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1841041787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19100 BABROF DR",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995778677",
            "telephone_number": "520-440-6283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5955 ZEAMER AVE",
            "city": "ELMENDORF AFB",
            "state": "AK",
            "postal_code": "995063702",
            "telephone_number": "907-580-8158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRLEY",
        "first_name": "NATHANIEL",
        "middle_name": "DUPREE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-28",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN166753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Spencer Rowe, RN
• Roman Aguon Salas, RN, NP, CNS
• Morgan Sanders, D.O.
• Lisa K Schuette, RD
• Chadwick J Shade, PHD
• Kwie-Hoa Siem, M.D.
• Pamela Karen Stafford, FNP
• Jeremy Michael Strohmayer, D.O.
• Amy Dawn Swanger
• Natasha Maria Trozzolo, AU.D.

• Registered Nurse in Elmendorf AFB, AK
• Providers in Elmendorf AFB, AK by specialty
• Registered Nurse in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; 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.