SHAWN LEE MCKIDDY
NPI 1851055867
Student in an Organized Health Care Education/Training Program in Glendale Springs, NC

Q: What is Shawn Mckiddy's NPI number?

The NPI number for Shawn Mckiddy is 1851055867. It was assigned to this individual provider in the NPPES registry on October 26, 2021.

Q: What is Shawn Mckiddy's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Shawn Mckiddy was last updated on October 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 October 26, 2021

542 OLD WILKES RD, GLENDALE SPRINGS, NC 28629(336) 977-0290 Get Directions Write a Review

NPPES record last updated: October 26, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Shawn Lee Mckiddy NPPES

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

SHAWN LEE MCKIDDY (NPI 1851055867) is an individual student in an organized health care education/training program in Glendale Springs, North Carolina and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1851055867

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameSHAWN LEE MCKIDDY

Location Address542 OLD WILKES RDGlendale Springs, NC 28629-9103

Mailing Address542 Old Wilkes RdGlendale Springs, NC 28629-9103 · (336) 977-0290

Phone(336) 977-0290

Sole ProprietorNo

Enumeration DateOctober 26, 2021

NPPES CertifiedOctober 26, 2021

✔ NPI 1851055867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

542 OLD WILKES RD, Glendale Springs, NC 28629

Open in Google Maps ↗

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 Shawn Mckiddy's NPI number?

The NPI number for Shawn Mckiddy is 1851055867. It was assigned to this individual provider in the NPPES registry on October 26, 2021.

Where is Shawn Mckiddy located?

Shawn Mckiddy practices at 542 Old Wilkes Rd, Glendale Springs, NC 28629. The listed phone number is (336) 977-0290.

What is Shawn Mckiddy's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Shawn Mckiddy was last updated on October 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.