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1740666445 NPI number — KIRBY MICHELLE SHERGILL CRNA

NPI Number: 1740666445
Health Care Provider/Practitioner: KIRBY MICHELLE SHERGILL CRNA

Information about “1740666445” NPI (KIRBY MICHELLE SHERGILL CRNA) exists in 1740666445 in HTML format HTML  |  1740666445 in plain Text format TXT  |  1740666445 in PDF (Portable Document Format) PDF  |  1740666445 in an XML format XML  formats.

NPI Number : 1740666445 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1740666445",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SHERGILL",
    "FirstName": "KIRBY",
    "MiddleName": "MICHELLE",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "CRNA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "LITTLE",
    "OtherFirstName": "KIRBY",
    "OtherMiddleName": "MICHELLE",
    "OtherNamePrefix": "MISS",
    "OtherNameSuffix": null,
    "OtherCredential": "RN",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "101 SURGEONS DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MYRTLE BEACH",
    "MailingAddressStateName": "SC",
    "MailingAddressPostalCode": "29579-5198",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "843-236-6633",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3573 ST JAMES AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MYRTLE BEACH",
    "PracticeLocationAddressStateName": "SC",
    "PracticeLocationAddressPostalCode": "29577",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "843-631-3991",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/04/2015",
    "LastUpdateDate": "11/14/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "367500000X",
          "TaxonomyName": "Certified Registered Nurse Anesthetist",
          "LicenseNumber": "19490",
          "LicenseNumberStateCode": "SC",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LA2200X",
          "TaxonomyName": "Adult Health Nurse Practitioner",
          "LicenseNumber": "19490",
          "LicenseNumberStateCode": "SC",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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