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MS. KIM MARIA SHAY
NPI 1891090312
Nurse Practitioner - Family in Peoria, IL

Active since January 13, 2011
1201 N NORTH ST, PEORIA, IL 61606(309) 671-2310(309) 674-3560 Get Directions Write a Review

NPPES record last updated: January 9, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Kim Maria Shay NPPES

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

MS. KIM MARIA SHAY (NPI 1891090312) is an individual family provider in Peoria, Illinois, licensed in Illinois (209.008069) and active in the NPI registry since January 2011.

NPPES Registry Identity

NPI1891090312
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. KIM MARIA SHAY
Location Address1201 N NORTH STPeoria, IL 61606-1533
Mailing Address1201 N North StPeoria, IL 61606-1533 · (309) 671-2310 · Fax (309) 674-3560
Phone(309) 671-2310
Fax(309) 674-3560
Sole ProprietorNo
Enumeration DateJanuary 13, 2011
Last NPPES UpdateJanuary 9, 2017
✔ NPI 1891090312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209.008069
1201 N NORTH ST, Peoria, IL 61606
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Other Names 1

Former Name (1)Kim Maria Garrett Nurse Practitioner

Other Providers at the Same Location NPPES 3

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

DR. THANAD S SHAY M.D.
Internal Medicine (Cardiovascular Disease)
1201 N NORTH ST
PEORIA, IL 61606
Peoria County (309) 671-2310
DRS. SHAY AND ASSOCIATES, LTD.
Internal Medicine (Cardiovascular Disease)
1201 N NORTH ST
PEORIA, IL 61606
Peoria County (309) 671-2310
SANIT S SHAY M.D.
Obstetrics & Gynecology
1201 N NORTH ST
PEORIA, IL 61606
Peoria County (309) 671-2310

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 Kim Shay's NPI number?

The NPI number for Kim Shay is 1891090312. It was assigned to this individual provider in the NPPES registry on January 13, 2011. The provider is also known as Kim Maria Garrett Nurse Practitioner.

Where is Kim Shay located?

Kim Shay practices at 1201 N North St, Peoria, IL 61606. The listed phone number is (309) 671-2310.

What is Kim Shay's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Kim Shay was last updated on January 9, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.