1. Home
  2. Directory
  3. Michigan
  4. Centreville
  5. Licensed Practical Nurse
  6. NPI Profile

KELLY RICHELLE SHAFER LPN
NPI 1174231757
Licensed Practical Nurse in Centreville, MI

Active since November 11, 2022
677 E MAIN ST, CENTREVILLE, MI 49032(269) 467-1000 Get Directions Write a Review

NPPES record last updated: November 11, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelly Richelle Shafer Lpn NPPES

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

KELLY RICHELLE SHAFER LPN (NPI 1174231757) is an individual licensed practical nurse in Centreville, Michigan, licensed in Michigan (4703111447) and active in the NPI registry since November 2022.

NPPES Registry Identity

NPI1174231757
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameKELLY RICHELLE SHAFERCredential: LPN
Location Address677 E MAIN STCentreville, MI 49032-8524
Mailing Address69108 Sevison RdWhite Pigeon, MI 49099-7716
Phone(269) 467-1000
Sole ProprietorYes
Enumeration DateNovember 11, 2022
NPPES CertifiedNovember 11, 2022
✔ NPI 1174231757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in MI · 4703111447
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
677 E MAIN ST, Centreville, MI 49032
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHANNON BROCHEY
Community Health Worker
677 E MAIN ST
CENTREVILLE, MI 49032
St. Joseph County (269) 467-1001
SHELLY BIXLER-MARTIN
Social Worker (Clinical)
677 E MAIN ST
CENTREVILLE, MI 49032
St. Joseph County (269) 467-1001
GRAE MACKENZIE MILLER LLMSW,DP-C
Social Worker (Clinical)
677 E MAIN ST
CENTREVILLE, MI 49032
St. Joseph County (269) 467-1000
JANNA FIALA
Case Manager/Care Coordinator
677 E MAIN ST
CENTREVILLE, MI 49032
St. Joseph County (269) 467-1000
JULIE PARSONS LPN
Licensed Practical Nurse
677 E MAIN ST
CENTREVILLE, MI 49032
St. Joseph County (269) 467-1000
TRACEY COLE
Community Health Worker
677 E MAIN ST
CENTREVILLE, MI 49032
St. Joseph County (269) 467-1000
SKYLER FORD RN
Registered Nurse
677 E MAIN ST
CENTREVILLE, MI 49032
St. Joseph County (269) 816-3884
LORA LEE BATDORFF
Registered Nurse
677 E MAIN ST
CENTREVILLE, MI 49032
St. Joseph County (269) 467-1000

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 Kelly Shafer's NPI number?

The NPI number for Kelly Shafer is 1174231757. It was assigned to this individual provider in the NPPES registry on November 11, 2022.

Where is Kelly Shafer located?

Kelly Shafer practices at 677 E Main St, Centreville, MI 49032. The listed phone number is (269) 467-1000.

What is Kelly Shafer's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Kelly Shafer was last updated on November 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.