Individual provider Active NPI

Jamie Lynne Shields, RN

  • Registered Nurse
  • Columbus, GA
National Provider Identifier
1306070008
Registry record updated May 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN574468 Issued in PA
Practice address
5200 Greystone Summit Dr
Apt #1006
Columbus, GA 31909-7541
Phone
(724) 494-5930
NPI assigned
May 8, 2009
Last updated
May 8, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN574468 PA Primary
Registered Nurse 163W00000X 579231-1 NY

Addresses

Primary practice location

5200 Greystone Summit Dr
Apt #1006
Columbus, GA 31909-7541

Mailing address

5200 Greystone Summit Dr
Apt #1006
Columbus, GA 31909-7541
Phone (724) 494-5930

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
579231-1NYMDRegistered Nurse
RN574468PAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1241740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241740800000",
    "number": "1306070008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 GREYSTONE SUMMIT DR",
            "address_2": "APT #1006",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319097541",
            "telephone_number": "724-494-5930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 GREYSTONE SUMMIT DR",
            "address_2": "APT #1006",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319097541",
            "telephone_number": "724-494-5930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "JAMIE",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-08",
        "last_updated": "2009-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN574468",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "579231-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2009; 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.