Kristin Shutt, RN

Primary specialty

Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X

License

191473 Issued in WI

Practice address

1518 W Mason St
Green Bay, WI 54303-2216

Phone

(920) 238-8599

Fax

(920) 238-8597

NPI assigned

May 18, 2026

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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.

• Addiction Services and Pharmacotherapy, SC

  • Methadone Clinic
  • Green Bay, WI
  • NPI 1982560512
  NPD (past)

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

{
    "created_epoch": "1779062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1780513655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1518 W MASON ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543032216",
            "telephone_number": "920-238-8599",
            "fax_number": "920-238-8597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1518 W MASON ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543032216",
            "telephone_number": "920-238-8599",
            "fax_number": "920-238-8597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUTT",
        "first_name": "KRISTIN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-18",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "191473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shoptikal LLC
• Shoptikal LLC
• John Fredrick Shrake, MD
• Caiden Chad Shulfer, RN
• Cassandra Kathleen Shultz
• Patricia Elizabeth Sias, M.D.
• Esra Siddeek, DO
• Jasdeep Singh Sidhu, M.D.
• Sarah Siebert, LPC
• Molly Siehr

• Addiction (Substance Use Disorder) Registered Nurse in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Addiction (Substance Use Disorder) Registered Nurse in Wisconsin

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