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KRISTINA SHIVELY LPN
NPI 1679162275
Licensed Practical Nurse in Fort Wayne, IN

Active since January 18, 2021
5050 N CLINTON ST, FORT WAYNE, IN 46825(260) 484-8551 Get Directions Write a Review

NPPES record last updated: January 18, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kristina Shively Lpn NPPES

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

KRISTINA SHIVELY LPN (NPI 1679162275) is an individual licensed practical nurse in Fort Wayne, Indiana, licensed in Indiana (27059092A) and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1679162275
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameKRISTINA SHIVELYCredential: LPN
Location Address5050 N CLINTON STFort Wayne, IN 46825-5886
Mailing Address5050 N Clinton StFort Wayne, IN 46825-5886
Phone(260) 484-8551
Sole ProprietorNo
Enumeration DateJanuary 18, 2021
NPPES CertifiedJanuary 18, 2021
✔ NPI 1679162275 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 IN · 27059092A
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.
5050 N CLINTON ST, Fort Wayne, IN 46825
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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.

ANTHONY DZIGBORDI
Nurse Anesthetist, Certified Registered
5050 N CLINTON ST
FORT WAYNE, IN 46825
Allen County (260) 484-8551
ABIGAIL MCKENSEY GANN PA
Physician Assistant
5050 N CLINTON ST
FORT WAYNE, IN 46825
Allen County (260) 484-8551
LISA A TOMPA CRNA
Nurse Anesthetist, Certified Registered
5050 N CLINTON ST
FORT WAYNE, IN 46825
Allen County (260) 484-8551
NATHAN NOTTER P.T.
Physical Therapist
5050 N CLINTON ST
FORT WAYNE, IN 46825
Allen County (260) 471-6202
MR. CRAIG A DYER ATC
Specialist/Technologist (Athletic Trainer)
5050 N CLINTON ST
FT WAYNE, IN 46825
Allen County (260) 484-8551
SARAH ANNE LASALLE D.O.
Anesthesiology
5050 N CLINTON ST
FORT WAYNE, IN 46825
Allen County (260) 484-8551
FELICIA WEHRLE
Nurse Practitioner
5050 N CLINTON ST
FORT WAYNE, IN 46825
Allen County (260) 484-8551
KAY ELIZABETH BROWN
Registered Nurse (Orthopedic)
5050 N CLINTON ST
FORT WAYNE, IN 46825
Allen County (260) 408-2035

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 Kristina Shively's NPI number?

The NPI number for Kristina Shively is 1679162275. It was assigned to this individual provider in the NPPES registry on January 18, 2021.

Where is Kristina Shively located?

Kristina Shively practices at 5050 N Clinton St, Fort Wayne, IN 46825. The listed phone number is (260) 484-8551.

What is Kristina Shively'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 Kristina Shively was last updated on January 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.