Chris Shields, RN

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

218086 Issued in SC

Practice address

9890B Windsor Lake Blvd
Columbia, SC 29223-2028

Phone

(803) 888-7800

NPI assigned

Dec 28, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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.

• The Neighborhood Nurse, LLC

  • In Home Supportive Care Agency
  • Columbia, SC
  • NPI 1205426277
  NPD

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

{
    "created_epoch": "1672185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1356054910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9890B WINDSOR LAKE BLVD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292232028",
            "telephone_number": "803-888-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9890B WINDSOR LAKE BLVD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292232028",
            "telephone_number": "803-888-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "CHRIS",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-28",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "SC",
            "license": "218086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EX2005",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "tnn",
            "affiliation": "N",
            "address_1": "9890B Windsor Lake Blvd",
            "city": "Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "292232028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Karan Sheth, PA-C
• Lahari Shetty, MD
• Jiajia Shi, DMD
• Namrata M Shidhaye, MD
• Caleb M Shields, MD
• Emily Shields
• Shannon Mary Shields, APRN
• Julayne Shiflett, ATC
• Alexander S Shilman, PHARMD
• Barrett C Shilo, PA

• Administrator Registered Nurse in Columbia, SC
• Providers in Columbia, SC by specialty
• Administrator Registered Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.