Individual provider Active NPI

Krista Sue Shell, RN

  • Home Health Registered Nurse
  • Acton, MA
National Provider Identifier
1265130470
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
2295529 Issued in MA
Practice address
41 Minuteman Rd
Acton, MA 01720-3849
Phone
(978) 424-7230
NPI assigned
Feb 16, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Registered Nurse 163WP0200X 2295529 MA
Home Health Registered Nurse 163WH0200X 2295529 MA Primary

Addresses

Primary practice location

41 Minuteman Rd
Acton, MA 01720-3849

Mailing address

357 Rindge Tpke
Ashburnham, MA 01430-1134
Phone (978) 424-7230

Other practice location 1

357 Rindge Tpke
Ashburnham, MA 01430-1134
Phone (978) 424-7230

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
2295529MAMDPediatric Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1676505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1265130470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 RINDGE TPKE",
            "city": "ASHBURNHAM",
            "state": "MA",
            "postal_code": "014301134",
            "telephone_number": "978-424-7230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 MINUTEMAN RD",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017203849",
            "telephone_number": "978-424-7230"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "357 Rindge Tpke",
            "address_purpose": "LOCATION",
            "city": "Ashburnham",
            "state": "MA",
            "postal_code": "014301134",
            "country_code": "US",
            "telephone_number": "978-424-7230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHELL",
        "first_name": "KRISTA",
        "middle_name": "SUE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-16",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "MA",
            "license": "2295529",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MA",
            "license": "2295529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Acton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; 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.