National Provider Identifier
Kristy Lynn Shields, MSED
Kristy Lynn Shields, MSED is listed in the NPPES registry with a primary specialty of Specialist in Rochester, NY and a listed phone number of (585) 436-0362.
Profile Overview
- NPI
- 1205390887
- Provider Type
- Individual
- Primary Specialty
- Specialist
- Enumeration Date
- January 28, 2019
- Last Updated
- January 28, 2019
Practice Location
- 640 Jefferson Ave
- Rochester, NY 14611-3548
Phone: (585) 436-0362
Mailing Address
- 149 N Main St
- Fairport, NY 14450-1434
Specialties
- Specialist (174400000X)
Full Record
- NPI
- 1205390887
- Entity Type
- Individual
- Last Name
- Shields
- First Name
- Kristy
- Middle Name
- Lynn
- Name Prefix
- Mrs.
- Credential
- MSED
- Provider Other Last Name
- Koring
- Provider Other First Name
- Kristy
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 149 N Main St
- Mailing City
- Fairport
- Mailing State
- NY
- Mailing ZIP Code
- 14450-1434
- Mailing Country
- US
- Mailing Phone
- (585) 377-2230
- Practice Street Address
- 640 Jefferson Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14611-3548
- Practice Country
- US
- Practice Phone
- (585) 436-0362
- Enumeration Date
- January 28, 2019
- Last Updated
- January 28, 2019
- Sex
- Female
- Sole Proprietor
- Yes
- Taxonomy Group 1
- 193400000X Single Specialty Group
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Specialist (174400000X)
- Other Identifiers
- 1656612 (NY, Teacher Certification)