KRISTIE L SHIN PA-C
NPI 1861644734
Physician Assistant in Peru, IL

Active since October 22, 2008
1650 MIDTOWN RD, PERU, IL 61354(815) 223-0203 Get Directions Write a Review

NPPES record last updated: September 23, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kristie L Shin Pa-c NPPES

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

KRISTIE L SHIN PA-C (NPI 1861644734) is an individual physician assistant in Peru, Illinois, licensed in Illinois (385.002340) and active in the NPI registry since October 2008.

NPPES Registry Identity

NPI1861644734
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKRISTIE L SHINCredential: PA-C
Location Address1650 MIDTOWN RDPeru, IL 61354-1274
Mailing Address600 E 1st StSpring Valley, IL 61362-1512 · (815) 664-5311
Sole ProprietorNo
Enumeration DateOctober 22, 2008
Last NPPES UpdateSeptember 23, 2011
NPI 1861644734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in IL · 385.002340
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1650 MIDTOWN RD, Peru, IL 61354

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1650 MIDTOWN RD
PERU, IL 61354
Nurse Practitioner (Family)
1650 MIDTOWN RD
PERU, IL 61354
Nurse Practitioner (Family)
1650 MIDTOWN RD
PERU, IL 61354
Family Medicine
1650 MIDTOWN RD
PERU, IL 61354
Nurse Practitioner (Family)
1650 MIDTOWN RD
PERU, IL 61354
Nurse Practitioner (Family)
1650 MIDTOWN RD
PERU, IL 61354
Family Medicine
1650 MIDTOWN RD
PERU, IL 61354
Clinic/Center (Rural Health)
1650 MIDTOWN RD
PERU, IL 61354

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 Kristie Shin's NPI number?

The NPI number for Kristie Shin is 1861644734. It was assigned to this individual provider in the NPPES registry on October 22, 2008.

Where is Kristie Shin located?

Kristie Shin practices at 1650 Midtown Rd, Peru, IL 61354. The listed phone number is (815) 223-0203.

What is Kristie Shin's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Kristie Shin was last updated on September 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.