MS. KYRA MONIQUE SHIVELY
NPI 1295249415
Registered Nurse in Traverse City, MI

Active since November 27, 2017
3205 SUPPLY RD, TRAVERSE CITY, MI 49696(231) 935-1070 Get Directions Write a Review

NPPES record last updated: October 1, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 1, 2018, Nov 27, 2017 (2 updates tracked since 2017).

About Ms. Kyra Monique Shively NPPES

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

MS. KYRA MONIQUE SHIVELY (NPI 1295249415) is an individual registered nurse in Traverse City, Michigan, licensed in Michigan (4704339826) and active in the NPI registry since November 2017.

NPPES Registry Identity

NPI1295249415
Entity TypeIndividualFemale
Primary Taxonomy163W00000X
Provider Legal NameMS. KYRA MONIQUE SHIVELY
Location Address3205 SUPPLY RDTraverse City, MI 49696-9486
Mailing Address3049 Crimson Ranch LnTraverse City, MI 49685-9767 · (231) 239-2468
Sole ProprietorYes
Enumeration DateNovember 27, 2017
Last NPPES UpdateOctober 1, 20182 updates tracked since enumeration
NPI 1295249415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License Licensed in MI · 4704339826
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
Also ListedLicensed Practical NurseTaxonomy 164W00000X · License 4703119005 (MI)
3205 SUPPLY RD, Traverse City, MI 49696

Other Providers at the Same Location NPPES 3

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

Registered Nurse (General Practice)
3205 SUPPLY RD
TRAVERSE CITY, MI 49696
Occupational Therapist
3205 SUPPLY RD
TRAVERSE CITY, MI 49696
Registered Nurse
3205 SUPPLY RD
TRAVERSE CITY, MI 49696

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 Kyra Shively's NPI number?

The NPI number for Kyra Shively is 1295249415. It was assigned to this individual provider in the NPPES registry on November 27, 2017.

Where is Kyra Shively located?

Kyra Shively practices at 3205 Supply Rd, Traverse City, MI 49696. The listed phone number is (231) 935-1070.

What is Kyra Shively's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

When was this NPI record last updated?

The NPPES record for Kyra Shively was last updated on October 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.