Individual provider Active NPI

Shelly K Paynter, RN

  • Perinatal Registered Nurse
  • Fort Thompson, SD
National Provider Identifier
1447387758
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Perinatal Registered NurseTaxonomy code 163WP1700X
License
R025813 Issued in SD
Practice address
Hwy 34 and 47
Fort Thompson, SD 57339-0200
Phone
(605) 245-2285
NPI assigned
Feb 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X R025813 SD
Maternal Newborn Registered Nurse 163WM0102X R025813 SD
Perinatal Registered Nurse 163WP1700X R025813 SD Primary

Addresses

Primary practice location

Hwy 34 and 47
Fort Thompson, SD 57339-0200

Mailing address

210 Scoby Avenue
PO Box 509
Highmore, SD 57345-0509
Phone (605) 852-2138

Other identifiers 2

IdentifierTypeStateIssuer
5549010MedicaidSD
R025813OtherSDSTATE LICENSE NUMBER

Other names 1

  • Shelly K Short Former 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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
R025813SDMDPerinatal Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1447387758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 SCOBY AVENUE",
            "address_2": "PO BOX 509",
            "city": "HIGHMORE",
            "state": "SD",
            "postal_code": "573450509",
            "telephone_number": "605-852-2138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HWY 34 AND 47",
            "city": "FORT THOMPSON",
            "state": "SD",
            "postal_code": "573390200",
            "telephone_number": "605-245-2285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNTER",
        "first_name": "SHELLY",
        "middle_name": "K",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "SD",
            "license": "R025813",
            "primary": false
        },
        {
            "code": "163WM0102X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Maternal Newborn",
            "state": "SD",
            "license": "R025813",
            "primary": false
        },
        {
            "code": "163WP1700X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Perinatal",
            "state": "SD",
            "license": "R025813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5549010",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "R025813",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELLY",
            "last_name": "SHORT",
            "middle_name": "K",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Thompson, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.

Verify at the official NPI Registry.