STACEY SHORES
NPI 1659980951
Licensed Practical Nurse in Kirksville, MO

Active since July 23, 2020
900 E LAHARPE ST, KIRKSVILLE, MO 63501(636) 224-1210 Get Directions Write a Review

NPPES record last updated: July 23, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Stacey Shores NPPES

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

STACEY SHORES (NPI 1659980951) is an individual licensed practical nurse in Kirksville, Missouri, licensed in Missouri (2009022767) and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1659980951
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameSTACEY SHORES
Location Address900 E LAHARPE STKirksville, MO 63501-4520
Mailing Address1601 Old South River RdSaint Charles, MO 63303-4120 · (636) 224-1210
Sole ProprietorNo
Enumeration DateJuly 23, 2020
NPPES CertifiedJuly 23, 2020
NPI 1659980951 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 MO · 2009022767
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.
900 E LAHARPE ST, Kirksville, MO 63501

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.

Clinic/Center (Rehabilitation, Substance Use Disorder)
900 E LAHARPE ST
KIRKSVILLE, MO 63501
Counselor (Professional)
900 E LAHARPE ST
KIRKSVILLE, MO 63501
Licensed Practical Nurse
900 E LAHARPE ST
KIRKSVILLE, MO 63501
Licensed Practical Nurse
900 E LAHARPE ST
KIRKSVILLE, MO 63501
Clinic/Center (Adult Mental Health)
900 E LAHARPE ST
KIRKSVILLE, MO 63501
Licensed Practical Nurse
900 E LAHARPE ST
KIRKSVILLE, MO 63501
Marriage & Family Therapist
900 E LAHARPE ST
KIRKSVILLE, MO 63501
Licensed Practical Nurse
900 E LAHARPE ST
KIRKSVILLE, MO 63501

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 Stacey Shores's NPI number?

The NPI number for Stacey Shores is 1659980951. It was assigned to this individual provider in the NPPES registry on July 23, 2020.

Where is Stacey Shores located?

Stacey Shores practices at 900 E Laharpe St, Kirksville, MO 63501. The listed phone number is (636) 224-1210.

What is Stacey Shores'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 Stacey Shores was last updated on July 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.