MS. KORTNEY RAE SHEAHAN ACNP NPI 1629802665

NPI Information

  • NPI: 1629802665
  • Provider Name: MS. KORTNEY RAE SHEAHAN, ACNP
  • Classification: Nurse Practitioner - 363LA2100X
  • Specialization: Acute Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1 BARNES JEWISH HOSPITAL PLZ
    DEPT ANESTHESIOLOGY
    SAINT LOUIS, MO
    ZIP 63110
  • Phone: (800) 862-9980

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NPI Details

MS. Kortney Rae Sheahan, ACNP is an acute care nurse practitioner in Saint Louis, MO with 2 years of experience. MS. Kortney Rae Sheahan, ACNP NPI is 1629802665. 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:

1 BARNES JEWISH HOSPITAL PLZ
DEPT ANESTHESIOLOGY
SAINT LOUIS, MO
ZIP 63110-003
Phone: (800) 862-9980
Fax: (314) 362-1185

The NPI 1629802665 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 enumeration date for this NPI number is 8/30/2024 and was last updated on 4/17/2025.

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
1363LA2100XNurse PractitionerAcute Care2024041505MISSOURIYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1420149210MEDICAIDMISSOURI

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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