MS. KIM MARIA SHAY NPI 1891090312

NPI Information

  • NPI: 1891090312
  • Provider Name: MS. KIM MARIA SHAY
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1201 N NORTH ST
    PEORIA, IL
    ZIP 61606
  • Phone: (309) 671-2310

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NPI Details

MS. Kim Maria Shay is a family nurse practitioner in Peoria, IL. MS. Kim Maria Shay NPI is 1891090312. 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 N NORTH ST
PEORIA, IL
ZIP 61606-533
Phone: (309) 671-2310
Fax: (309) 674-3560

The NPI 1891090312 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 1/13/2011 and was last updated on 1/9/2017.

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
1363LF0000XNurse PractitionerFamily209.008069ILLINOISYes

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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