MRS. KRISTY LYNN SHIELDS (NPI# 1205390887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205390887 |
| Entity Type | Individual |
| Full Name | MRS. KRISTY LYNN SHIELDS |
| Other Name | KRISTY KORING |
| Credential | MSED |
| Practice Address |
640 Jefferson Ave Rochester NY 14611-3548 |
| Mailing Address |
149 N Main St Fairport NY 14450-1434 |
| Practice Telephone | 5854360362 |
| Mailing Telephone | 5853772230 |
| Enumeration Date | 2019-01-28 |
| Last Update Date | 2019-01-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 1656612 | NY | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | TEACHER CERTIFICATION | 1656612 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770754673 | Kristy Marie Shields | Occupational Therapist | 12714 S Rene St, Olathe, KS 66062-4938 | 2008-03-18 |
| Street Address |
640 JEFFERSON AVE |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14611-3548 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578113874 | Brittany Desiree' James | Counselor | 601 Genesee Street, Rochester, NY 14611 | 2019-09-18 |
| 1629554456 | Burnagie Tafari Webbe | Licensed Practical Nurse | 49 Judson St, Rochester, NY 14611 | 2018-07-16 |
| 1194223917 | Caitlin Mucenski | Registered Nurse | 1099 Jay Street, Building J, Suite 202, Rochester, NY 14611 | 2018-01-26 |
| 1093233579 | Brittany Theresa Filip | Speech-Language Pathologist | Brittany Filip At Lincoln Park School No. 44, 820 Chili Avenue, Rochester, NY 14611 | 2017-09-05 |
| 1629591326 | Stacey D Mccloud | Licensed Practical Nurse | 55 Garfield St, Rochester, NY 14611 | 2017-07-25 |
| 1245685619 | Lilt Home Care | Home Health | 803 West Avenue, 353, Rochester, NY 14611 | 2016-05-04 |
| 1639539844 | Petrica Rouse | Dentist | 89 Genesee St Fl 2, Rochester, NY 14611 | 2016-03-01 |
| 1558737304 | People Inc. | Case Management | 835 W. Main Street, Rochester, NY 14611 | 2015-08-17 |
| 1619352051 | Lavanya Ravindran | Family Medicine | 89 Genesee St Bldg 3, Rochester, NY 14611 | 2015-07-28 |
| 1538567599 | Caring Hands Adl Inc | Home Health | 218 Garfield St., Rochester, NY 14611 | 2014-12-08 |
| Find all providers in zip 14611 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518526128 | Jill Russell Pavone | Specialist | 1850 Buffalo Rd Ste 200, Rochester, NY 14624-1550 | 2019-06-07 |
| 1962986364 | Allison Anne Skwirz | Specialist | 152 Barrington St Apt 108, Rochester, NY 14607-2957 | 2018-09-20 |
| 1811478373 | University Orthopaedic Associates of Rochester | Specialist | 2300 W Ridge Rd Ste 202, Rochester, NY 14626-2801 | 2018-08-23 |
| 1619457496 | University Orthopaedic Associates of Rochester | Specialist | 1000 South Ave Rm H-210, Rochester, NY 14620-2733 | 2018-08-21 |
| 1891201257 | Kate Elizabeth Huggler-rubin | Specialist | 247 Wellington Ave, Rochester, NY 14611-3039 | 2017-12-21 |
| 1194259580 | Jenny Elahi | Specialist | 99 Eastgate Dr, Rochester, NY 14617-4136 | 2017-04-12 |
| 1326591421 | Rochester Endovascular Pllc | Specialist | 1892 Winton Rd S, Rochester, NY 14618-3996 | 2016-07-26 |
| 1912352329 | Cesely Warren | Specialist | 82 Kafana Dr, Rochester, NY 14612-2718 | 2016-05-04 |
| 1043685472 | Krista Gehm | Specialist | 2400 S Clinton Ave Ste 130, Rochester, NY 14618-2668 | 2015-12-10 |
| 1205204005 | Stacy Sidoti | Specialist | 2011 Hudson Ave, Rochester, NY 14617-4303 | 2015-09-10 |
| Find all providers in ROCHESTER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.