Individual provider Active NPI

Kristen Shobe

  • In Home Supportive Care Agency
  • Lexington, KY
National Provider Identifier
1295495752
Registry record updated Dec 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
M02-671-877 Issued in KY
Practice address
3309 Squire Creek Way
Lexington, KY 40515-5398
Phone
(859) 693-4209
NPI assigned
Dec 26, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X M02-671-877 KY Primary

Addresses

Primary practice location

3309 Squire Creek Way
Lexington, KY 40515-5398

Mailing address

3309 Squire Creek Way
Lexington, KY 40515-5398
Phone (859) 693-4209

Other names 1

  • Kristen J Shobe Professional name

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

State licenses

LicenseStateTypeSpecialty
M02-671-877KYMDIn Home Supportive Care Agency

NPI Registry JSON

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

{
    "created_epoch": "1640476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640476800000",
    "number": "1295495752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3309 SQUIRE CREEK WAY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405155398",
            "telephone_number": "859-693-4209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3309 SQUIRE CREEK WAY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405155398",
            "telephone_number": "859-693-4209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOBE",
        "first_name": "KRISTEN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-26",
        "last_updated": "2021-12-26",
        "certification_date": "2021-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "KY",
            "license": "M02-671-877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "SHOBE",
            "middle_name": "J",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2021; 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.