BETH ANN SHAY-STIDOM
NPI 1437460698
Physician Assistant - Medical in Fort Campbell, KY

Active since June 23, 2010
650 JOEL DR, FORT CAMPBELL, KY 42223(270) 798-8372 Get Directions Write a Review

NPPES record last updated: June 23, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Beth Ann Shay-stidom NPPES

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

BETH ANN SHAY-STIDOM (NPI 1437460698) is an individual medical provider in Fort Campbell, Kentucky and active in the NPI registry since June 2010.

NPPES Registry Identity

NPI1437460698
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameBETH ANN SHAY-STIDOM
Location Address650 JOEL DRFort Campbell, KY 42223-5318
Mailing Address650 Joel DrFort Campbell, KY 42223-5318 · (270) 798-8372
Sole ProprietorNo
Enumeration DateJune 23, 2010
NPI 1437460698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
650 JOEL DR, Fort Campbell, KY 42223

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.

Registered Nurse
650 JOEL DR
FORT CAMPBELL, KY 42223
Specialist/Technologist (Athletic Trainer)
650 JOEL DR
FORT CAMPBELL, KY 42223
Military Hospital
650 JOEL DR
FORT CAMPBELL, KY 42223
Nurse Practitioner
650 JOEL DR
FORT CAMPBELL, KY 42223
Counselor (Professional)
650 JOEL DR
FORT CAMPBELL, KY 42223
Pathology (Anatomic Pathology & Clinical Pathology)
650 JOEL DR
FORT CAMPBELL, KY 42223
Social Worker (Clinical)
650 JOEL DR
FORT CAMPBELL, KY 42223
Pathology (Anatomic Pathology & Clinical Pathology)
650 JOEL DR
FORT CAMPBELL, KY 42223

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 Beth Shay-stidom's NPI number?

The NPI number for Beth Shay-stidom is 1437460698. It was assigned to this individual provider in the NPPES registry on June 23, 2010.

Where is Beth Shay-stidom located?

Beth Shay-stidom practices at 650 Joel Dr, Fort Campbell, KY 42223. The listed phone number is (270) 798-8372.

What is Beth Shay-stidom's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Beth Shay-stidom was last updated on June 23, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.