ALISHA SHIM CRNP NPI 1962021766

NPI Information

  • NPI: 1962021766
  • Provider Name: ALISHA SHIM, CRNP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5525 TWIN KNOLLS RD
    COLUMBIA, MD
    ZIP 21045
  • Phone: (410) 992-9149

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NPI Details

Alisha Shim, CRNP is a psychiatric/mental health nurse practitioner in Columbia, MD with 4 years of experience. Alisha Shim, CRNP NPI is 1962021766. 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:

5525 TWIN KNOLLS RD
COLUMBIA, MD
ZIP 21045-266
Phone: (410) 992-9149

The NPI 1962021766 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 4/11/2020 and was last updated on 5/29/2024.

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
1363L00000XNurse PractitionerR205285MARYLANDNo
2363LP0808XNurse PractitionerPsychiatric/Mental HealthR205285MARYLANDYes

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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