Kimberly Raeanne Shinn, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN.1002173-NP Issued in CO

Practice address

609 Rye Ridge Rd
Fountain, CO 80817-3195

Phone

(503) 318-9472

NPI assigned

Jul 15, 2026

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

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

{
    "created_epoch": "1784073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1932029501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 RYE RIDGE RD",
            "city": "FOUNTAIN",
            "state": "CO",
            "postal_code": "808173195",
            "telephone_number": "503-318-9472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 RYE RIDGE RD",
            "city": "FOUNTAIN",
            "state": "CO",
            "postal_code": "808173195",
            "telephone_number": "503-318-9472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHINN",
        "first_name": "KIMBERLY",
        "middle_name": "RAEANNE",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-07-15",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.1002173-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Shannon-Farmer, RN
• Brandon Kyle Sheehan, DPT
• Mykah Jomarie Sheppard
• Carolina Shifflett
• Nicole Diane Shifflett, LCSW
• Shiva Enterprises LLC
• Joel Don Siebersma, MA, LPC.
• Fabian Sigala Orozco, LSW, ACSW, SWC
• Hailey Marie Silva
• Brande Nicole Sims, IDMT

• Family Nurse Practitioner in Fountain, CO
• Providers in Fountain, CO by specialty
• Family Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.