Kimberly Rae Shaeffer, BS

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

2325 E 3100 S
Vernal, UT 84078-8558

Phone

(435) 219-6080

NPI assigned

Oct 11, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

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

{
    "created_epoch": "1665446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1689399768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2325 E 3100 S",
            "city": "VERNAL",
            "state": "UT",
            "postal_code": "840788558",
            "telephone_number": "435-219-6080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 E 3100 S",
            "city": "VERNAL",
            "state": "UT",
            "postal_code": "840788558",
            "telephone_number": "435-219-6080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAEFFER",
        "first_name": "KIMBERLY",
        "middle_name": "RAE",
        "credential": "BS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-11",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "kimberly.evergreen.mentor@gmail.com",
            "affiliation": "N",
            "address_1": "2325 E 3100 S",
            "city": "Vernal",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840788558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Seitz Eye Care, Inc
• Gordon Alan Seitz, O.D.
• Neldon Scott Seitz, O.D.
• Ben Dogan Semadeni, PHARM. D.
• Gaven Sepulveda
• Ambrosia Sheehan, RBT
• Dereck Shifflet
• Tyler Shiner, DDS
• Jared Michael Short, MFTI
• Jessica E. Short, RD

• Case Manager/Care Coordinator in Vernal, UT
• Providers in Vernal, UT by specialty
• Case Manager/Care Coordinator in Utah

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