KIMBERLY MARIE SHANKS FNP
NPI 1366415184
Nurse Practitioner - Family in Shaw Afb, SC

Q: What is Kimberly Shanks's NPI number?

The NPI number for Kimberly Shanks is 1366415184. It was assigned to this individual provider in the NPPES registry on February 10, 2006.

Q: What is Kimberly Shanks's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Shanks was last updated on November 23, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since February 10, 2006

431 MEADOWLARK RD, SHAW AFB, SC 29152(803) 895-6592 Get Directions Write a Review

NPPES record last updated: November 23, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kimberly Marie Shanks Fnp NPPES

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

KIMBERLY MARIE SHANKS FNP (NPI 1366415184) is an individual family provider in Shaw Afb, South Carolina, licensed in Texas (676752) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1366415184

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKIMBERLY MARIE SHANKSCredential: FNP

Location Address431 MEADOWLARK RDShaw Afb, SC 29152

Mailing Address431 Meadowlark RdShaw Afb, SC 29152 · (803) 895-6592

Phone(803) 895-6592

Sole ProprietorNo

Enumeration DateFebruary 10, 2006

Last NPPES UpdateNovember 23, 2007

✔ NPI 1366415184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in TX · 676752

431 MEADOWLARK RD, Shaw Afb, SC 29152

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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 Kimberly Shanks's NPI number?

The NPI number for Kimberly Shanks is 1366415184. It was assigned to this individual provider in the NPPES registry on February 10, 2006.

Where is Kimberly Shanks located?

Kimberly Shanks practices at 431 Meadowlark Rd, Shaw Afb, SC 29152. The listed phone number is (803) 895-6592.

What is Kimberly Shanks's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Kimberly Shanks was last updated on November 23, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.