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MRS. ALFREDA SHIELDS FNP PMHNP NPI 1497021810


NPI Information

NPI: 1497021810
Provider Name: MRS. ALFREDA SHIELDS, FNP, PMHNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Organization: RELIANT MD MEDICAL ASSOCIATES

PECOS Registration: Yes

Address:
1001 LYNCH ST
SAINT LOUIS, MO
ZIP 63118
Phone: (314) 535-5600
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MRS. Alfreda Shields, FNP, PMHNP is a psychiatric/mental health nurse practitioner in Saint Louis, MO with 21 years of experience. MRS. Alfreda Shields, FNP, PMHNP NPI is 1497021810. 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:

1001 LYNCH ST
SAINT LOUIS, MO
ZIP 63118-818
Phone: (314) 535-5600

The NPI 1497021810 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, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Urinalysis, manual test (HCPCS:81002)

The enumeration date for this NPI number is 3/29/2012 and was last updated on 10/29/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363L00000XNurse Practitioner2012001249MISSOURINo
2363L00000XNurse Practitioner277000588ILLINOISNo
3363LF0000XNurse PractitionerFamily2012001249MISSOURINo
4363LP0808XNurse PractitionerPsychiatric/Mental Health2020037590MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12020037590OTHERMISSOURIPMHNP
22020037590MEDICAIDMISSOURI

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.