Individual provider Active NPI

Shelley L Ivy Hurguy, CRNA

  • Certified Registered Nurse Anesthetist
  • Ventura, CA
National Provider Identifier
1881753580
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
NA2508 Issued in CA
Practice address
444 Arnett Ave
Ventura, CA 93003-2106
Phone
(805) 765-7387
NPI assigned
Dec 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X NA2508 CA Primary

Addresses

Primary practice location

444 Arnett Ave
Ventura, CA 93003-2106

Mailing address

PO Box 6514
Westlake Village, CA 91359-6514
Phone (805) 230-2650

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
NA2508CAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Cynthia Jacobson Health and Wellness Inc Nurse Anesthetist, Certified Registered CurrentSince Jan 21, 2024 Accepting new patients
Shelley Hurguy Inc Nurse Anesthetist, Certified Registered Current Accepting new patients

Locations

325 Rolling Oaks Dr
#110B
Thousand Oaks, CA 91361
Phone (805) 230-2650

Organizations & group practices 2

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": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1881753580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6514",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913596514",
            "telephone_number": "805-230-2650",
            "fax_number": "805-339-1280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 ARNETT AVE",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032106",
            "telephone_number": "805-765-7387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVY HURGUY",
        "first_name": "SHELLEY",
        "middle_name": "L",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "NA2508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.