Kristy Marie Shene, CAPRC II-MH

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

3351 N Meridian St Ste 110
Indianapolis, IN 46208-4674

Phone

(317) 964-0450

Fax

(317) 964-0452

NPI assigned

Apr 6, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Dove Recovery House for Women

  • Voluntary or Charitable Agency
  • Indianapolis, IN
  • NPI 1356812317
  NPD (past)

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

{
    "created_epoch": "1586131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1700415213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3351 N MERIDIAN ST STE 110",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462084674",
            "telephone_number": "317-964-0450",
            "fax_number": "317-964-0452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3351 N MERIDIAN ST STE 110",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462084674",
            "telephone_number": "317-964-0450",
            "fax_number": "317-964-0452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHENE",
        "first_name": "KRISTY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "CAPRC II-MH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-06",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Kshene@doverecoveryhouse.org",
            "affiliation": "N",
            "endpointDescription": "Organization Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3351 N Meridian St Ste 110",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462084674",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Joan Legree Shemwell, M.D.
• Arden Shen
• Tianping Shen
• Wei Shen, MD
• Yi-Ling Shen, R.D.
• Calvin C. Sheng, MD
• George G Sheng, MD
• Megan Shenk
• Varun Vinod Shenoy
• Bobbie Jo Shepard, LCSW

• Peer Specialist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Peer Specialist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.