Kaylianne Michelle Shreve, PSA, CT

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

4734 Issued in AK

Practice address

26731 W Point Mackenzie Rd
Wasilla, AK 99623-8709

Phone

(907) 306-8549

NPI assigned

Apr 18, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1744934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1578359162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26731 W POINT MACKENZIE RD",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996238709",
            "telephone_number": "907-306-8549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26731 W POINT MACKENZIE RD",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996238709",
            "telephone_number": "907-306-8549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHREVE",
        "first_name": "KAYLIANNE",
        "middle_name": "MICHELLE",
        "credential": "PSA, CT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-18",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AK",
            "license": "5225",
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "AK",
            "license": "4734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan R. Shields, P.T.
• Stephanie Shields
• Heather Shomler
• Robert Shomler
• Stephen Matthew Shortridge, PAC
• Dana Ranai Shrimplin
• Courtney Sikes
• Jessica Ivory Simasko
• Terri L Simeck, LCSW
• Savanna L Simmerman, PA-C

• Peer Specialist in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Peer Specialist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; 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.