Active NPI
Shataria Flye
- Family Nurse Practitioner
- Minneapolis, MN
National Provider Identifier
1861345340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F09251330
- Practice address
- 100 Washington Ave S Ste 900
Minneapolis, MN 55401-2455 - Phone
- (866) 492-5336
- NPI assigned
- Feb 16, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F09251330 | MO | Primary |
Addresses
Primary practice location
100 Washington Ave S Ste 900
Minneapolis, MN 55401-2455
Mailing address
1304 Gray St
Poplar Bluff, MO 63901-2512
Phone (573) 714-6920
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F09251330 | MO | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771977600000",
"number": "1861345340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1304 GRAY ST",
"city": "POPLAR BLUFF",
"state": "MO",
"postal_code": "639012512",
"telephone_number": "573-714-6920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 WASHINGTON AVE S STE 900",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554012455",
"telephone_number": "866-492-5336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLYE",
"first_name": "SHATARIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-02-16",
"last_updated": "2026-02-25",
"certification_date": "2026-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "F09251330",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.