Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

KRYSTEN BLAKE DE SHIELDS RN-BSN
NPI 1093629354
Student in an Organized Health Care Education/Training Program in Colton, CA

Q: What is Krysten De Shields's NPI number?

The NPI number for Krysten De Shields is 1093629354. It was assigned to this individual provider in the NPPES registry on October 1, 2026.

Q: What is Krysten De Shields's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since October 01, 2026

2245 JOHN MATICH DR, COLTON, CA 92324(909) 657-8030 Get Directions Write a Review

NPPES record added: October 1, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

On this page

About Krysten Blake De Shields Rn-bsn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRYSTEN BLAKE DE SHIELDS RN-BSN (NPI 1093629354) is an individual student in an organized health care education/training program in Colton, California, licensed in California (95196826) and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1093629354

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameKRYSTEN BLAKE DE SHIELDSCredential: RN-BSN

Location Address2245 JOHN MATICH DRColton, CA 92324-9513

Mailing Address2245 John Matich DrColton, CA 92324-9513 · (909) 657-8030

Phone(909) 657-8030

Sole ProprietorNo

Enumeration DateOctober 1, 2026

NPPES CertifiedOctober 1, 2026

✔ NPI 1093629354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in CA · 95196826

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2245 JOHN MATICH DR, Colton, CA 92324

Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Krysten De Shields's NPI number?

The NPI number for Krysten De Shields is 1093629354. It was assigned to this individual provider in the NPPES registry on October 1, 2026.

Where is Krysten De Shields located?

Krysten De Shields practices at 2245 John Matich Dr, Colton, CA 92324. The listed phone number is (909) 657-8030.

What is Krysten De Shields's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Krysten De Shields was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.