KATHLEEN KIMBROUGH SHIELDS CRNP NPI 1780169037

NPI Information

NPI: 1780169037
Provider Name: KATHLEEN KIMBROUGH SHIELDS, CRNP
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

Organization: UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION,PC

PECOS Registration: Yes

Address:
1201 11TH AVE S STE 305
BIRMINGHAM, AL
ZIP 35205
Phone: (205) 996-2770
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Kathleen Kimbrough Shields, CRNP is a gerontology nurse practitioner in Birmingham, AL with 6 years of experience. Kathleen Kimbrough Shields, CRNP NPI is 1780169037. 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:

1201 11TH AVE S STE 305
BIRMINGHAM, AL
ZIP 35205-422
Phone: (205) 996-2770
Fax: (205) 996-2733

The NPI 1780169037 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 10/2/2018 and was last updated on 10/2/2018.

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
1	363LG0600X	Nurse Practitioner	Gerontology	1-153586	ALABAMA	Yes

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

NPI Synchronization or Removal

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