Krysten Blake De Shields, RN-BSN

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

95196826 Issued in CA

Practice address

2245 John Matich Dr
Colton, CA 92324-9513

Phone

(909) 657-8030

NPI assigned

Oct 1, 2026

Last updated

Oct 1, 2026By the provider in NPPES

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

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

{
    "created_epoch": "1790812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790812800000",
    "number": "1093629354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2245 JOHN MATICH DR",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923249513",
            "telephone_number": "909-657-8030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2245 JOHN MATICH DR",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923249513",
            "telephone_number": "909-657-8030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE SHIELDS",
        "first_name": "KRYSTEN",
        "middle_name": "BLAKE",
        "credential": "RN-BSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-01",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": "95196826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Student in an Organized Health Care Education/Training Program in Colton, CA
• Providers in Colton, CA by specialty
• Student in an Organized Health Care Education/Training Program in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.