KAYLA MARIA SHIELDS MD
NPI 1871235002
Student in an Organized Health Care Education/Training Program in Louisville, KY

Q: What is Kayla Shields's NPI number?

The NPI number for Kayla Shields is 1871235002. It was assigned to this individual provider in the NPPES registry on April 8, 2022.

Q: What is Kayla Shields'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 Kayla Shields was last updated on April 12, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 08, 2022PECOS Enrolled

550 S JACKSON ST FL 2, LOUISVILLE, KY 40202(502) 561-7448 Get Directions Write a Review

NPPES record last updated: April 12, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 12, 2024, Apr 20, 2022, Apr 8, 2022 (3 updates tracked since 2022).

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About Kayla Maria Shields Md NPPES

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

KAYLA MARIA SHIELDS MD (NPI 1871235002) is an individual student in an organized health care education/training program in Louisville, Kentucky and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871235002

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameKAYLA MARIA SHIELDSCredential: MD

Location Address550 S JACKSON ST FL 2Louisville, KY 40202-1622

Mailing Address550 S Jackson St Fl 2Louisville, KY 40202-1622 · (502) 561-7448

Phone(502) 561-7448

Sole ProprietorNo

Enumeration DateApril 8, 2022

Last NPPES UpdateApril 12, 20243 updates tracked since enumeration

NPPES CertifiedApril 12, 2024

✔ NPI 1871235002 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.

550 S JACKSON ST FL 2, Louisville, KY 40202

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kayla Maria Shields Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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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.

ANUPAMA RAGHURAM M.D.

Internal Medicine (Infectious Disease)