KATHRYN M SHAFFER NPI 1073243085

NPI Information

  • NPI: 1073243085
  • Provider Name: KATHRYN M SHAFFER
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2508 SE 20TH ST
    BENTONVILLE, AR
    ZIP 72712
  • Phone: (479) 273-9088

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NPI Details

Kathryn M Shaffer is a professional counselor in Bentonville, AR with 4 years of experience. Kathryn M Shaffer NPI is 1073243085. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2508 SE 20TH ST
BENTONVILLE, AR
ZIP 72712-008
Phone: (479) 273-9088

The NPI 1073243085 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 6/13/2022 and was last updated on 9/23/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthA2208014ARKANSASNo
2171M00000XCase Manager/Care CoordinatorNo
3101YP2500XCounselorProfessionalP2409007ARKANSASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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