Active NPI
Kevin Edward Shields
- Health Educator
- Colusa, CA
National Provider Identifier
1427186253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- Practice address
- 162 E Carson St Ste a
Colusa, CA 95932-2866 - Phone
- (530) 458-0524
- Fax
- (530) 458-7751
- NPI assigned
- Mar 1, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Educator | 174H00000X | CA | Primary |
Addresses
Primary practice location
162 E Carson St Ste a
Colusa, CA 95932-2866
Mailing address
162 E Carson St. Suite a
Colusa, CA 95932
Phone (530) 458-0524
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758499200000",
"number": "1427186253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "162 E CARSON ST. SUITE A",
"city": "COLUSA",
"state": "CA",
"postal_code": "95932",
"telephone_number": "530-458-0524",
"fax_number": "530-458-7751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "162 E CARSON ST STE A",
"city": "COLUSA",
"state": "CA",
"postal_code": "959322866",
"telephone_number": "530-458-0524",
"fax_number": "530-458-7751"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIELDS",
"first_name": "KEVIN",
"middle_name": "EDWARD",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-01",
"last_updated": "2025-09-22",
"certification_date": "2025-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colusa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.