Kristen Shores, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

1810 Issued in WV

Practice address

1 Baker PL
Keyser, WV 26726-2824

Phone

(304) 267-3595

Fax

(304) 267-3599

NPI assigned

Sep 21, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Mineral County Board of Education

  • Local Education Agency (LEA)
  • Keyser, WV, WV
  • NPI 1639348451
  NPD (past)
• Mineral County Board of Education

  • Local Education Agency (LEA)
  • Keyser, WV
  • NPI 1710175591
  NPD (past)

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

{
    "created_epoch": "1505952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1174032262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MINERAL COUNTY BOARD OF EDUCATION",
            "address_2": "ONE BAKER PLACE",
            "city": "KEYSER",
            "state": "WV",
            "postal_code": "26726",
            "telephone_number": "304-267-3595",
            "fax_number": "304-267-3599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BAKER PL",
            "city": "KEYSER",
            "state": "WV",
            "postal_code": "267262824",
            "telephone_number": "304-267-3595",
            "fax_number": "304-267-3599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORES",
        "first_name": "KRISTEN",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-21",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WV",
            "license": "1810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV BOARD OF EXAMINERS CARD",
            "identifier": "1810",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Suratkal V Shenoy, M.D.F.A.C.S
• Patty Shiflett
• Colleen Ann Shoemaker
• Crystal Ann Shoemaker
• Gretchen Ann Shoemaker
• Clinton John Shreve
• Mahesh B Shroff, MD
• Chasity Renee Shugars
• Kiersten Shugars
• Ruby Ann Shugars

• All providers in Keyser, WV
• Speech-Language Pathologist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.