Kristin Mae Shields, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

8568206-4405 Issued in UT

Practice address

654 S 900 E
Salt Lake City, UT 84102-3478

Phone

(801) 532-1586

NPI assigned

Nov 28, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: kristin.shields.p1@direct.ppau.nextgenshare.com

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.

• Planned Parenthood Association of Utah

  • Voluntary or Charitable Agency
  • Salt Lake City, UT
  • NPI 1073549614
  NPD (past)
• Planned Parenthood Association of Utah

  • Clinic Pharmacy
  • Salt Lake City, UT
  • NPI 1801387626
  NPD (past)
• Planned Parenthood Association of Utah

  • Clinic Pharmacy
  • West Valley City, UT
  • NPI 1881010874
  NPD (past)
• Planned Parenthood Association of Utah

  • Clinic Pharmacy
  • Orem, UT
  • NPI 1902397847
  NPD (past)

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383523200000",
    "number": "1720154883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "654 S 900 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841023478",
            "telephone_number": "801-532-1586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "654 S 900 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841023478",
            "telephone_number": "801-532-1586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "KRISTIN",
        "middle_name": "MAE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2013-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "8568206-4405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OMAP",
            "identifier": "297449",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trevor Steven Shick
• Shields Youth and Adult Services
• Csensi-Aspen Shields
• Fantaisha Tonimarie Shields
• Jessica Shields, MS, RD, CD
• Michelanne Shields, MD
• Michele Shields
• Jillian Danielle Shiembob, PT
• Cheryl Dawn Shifflett-Evans, LPC
• Kenneth Anthony Shifrar, BS PHARM

• Nurse Practitioner in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2013; 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.