Kaylin Nichelle Shifrar, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

002024570 Issued in CO

Practice address

1335 6TH St
Del Norte, CO 81132-3201

Phone

(719) 657-1105

NPI assigned

Mar 25, 2025

Last updated

Mar 25, 2025By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Monte Vista Investors, LLC

  dba Legacy at Monte Vista

  • Assisted Living Facility
  • Monte Vista, CO
  • NPI 1407817497
  NPD (past)

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

{
    "created_epoch": "1742860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1881496610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7772 N COUNTY ROAD 6 W",
            "city": "DEL NORTE",
            "state": "CO",
            "postal_code": "811329609",
            "telephone_number": "406-930-1954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 6TH ST",
            "city": "DEL NORTE",
            "state": "CO",
            "postal_code": "811323201",
            "telephone_number": "719-657-1105"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Chico Camino St",
            "address_purpose": "LOCATION",
            "city": "Monte Vista",
            "state": "CO",
            "postal_code": "811441025",
            "country_code": "US",
            "telephone_number": "719-852-5179",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "240 Craft Dr",
            "address_purpose": "LOCATION",
            "city": "Alamosa",
            "state": "CO",
            "postal_code": "811012274",
            "country_code": "US",
            "telephone_number": "719-589-9081",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2277 East Dr",
            "address_purpose": "LOCATION",
            "city": "Monte Vista",
            "state": "CO",
            "postal_code": "811449330",
            "country_code": "US",
            "telephone_number": "719-852-5138",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "119 Bastille Dr",
            "address_purpose": "LOCATION",
            "city": "Pagosa Springs",
            "state": "CO",
            "postal_code": "811479388",
            "country_code": "US",
            "telephone_number": "970-731-4330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIFRAR",
        "first_name": "KAYLIN",
        "middle_name": "NICHELLE",
        "name_prefix": "Mrs.",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-25",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CO",
            "license": "002024570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• San Luis Valley Community Mental Health Center (San Luis Valley Behavioral Health Group)
• San Luis Valley Community Mental Health Center (San Luis Valley Behavioral Health Group)
• San Luis Valley Community Mental Health Center (San Luis Valley Behavioral Health Group)
• San Luis Valley Community Mental Health Center, Inc. (San Luis Valley Behavioral Health Group)
• Joshua Segura
• David Ronald Silva, DO
• Susan Stuebs, RN
• Brittany L Sullivan
• Patrick James Thompson, MD
• Cinnamon Tidwell

• Dental Hygienist in Del Norte, CO
• Providers in Del Norte, CO by specialty
• Dental Hygienist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; 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.