Organization Active NPI

Krystle Shields

  • Community/Behavioral Health Agency
  • Greenville, NC
National Provider Identifier
1295234565
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
KRYSTLE SHIELDS
Practice address
3116 Noah CT
Greenville, NC 27834-6239
Phone
(252) 227-2276
NPI assigned
Feb 1, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Krystle Shields
Title
NP
Phone
(252) 227-2276

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

3116 Noah CT
Greenville, NC 27834-6239

Mailing address

3116 Noah CT
Greenville, NC 27834-6239

Other practice location 1

2261 Nash St NW
Wilson, NC 27896-1735
Phone (877) 876-3783

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1517443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1295234565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3116 NOAH CT",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278346239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3116 NOAH CT",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278346239",
            "telephone_number": "252-227-2276"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2261 Nash St NW",
            "address_purpose": "LOCATION",
            "city": "Wilson",
            "state": "NC",
            "postal_code": "278961735",
            "country_code": "US",
            "telephone_number": "877-876-3783",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KRYSTLE SHIELDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-01",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "SHIELDS",
        "authorized_official_first_name": "KRYSTLE",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "252-227-2276"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.