MI-KYONG KIM SHIELDS NP
NPI 1922571710
Nurse Practitioner in Peoria, AZ

Q: What is Mi-kyong Shields's NPI number?

The NPI number for Mi-kyong Shields is 1922571710. It was assigned to this individual provider in the NPPES registry on January 4, 2019.

Q: What is Mi-kyong Shields's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Mi-kyong Shields was last updated on January 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 January 04, 2019

13634 N 93RD AVE STE 100, PEORIA, AZ 85381(623) 777-0081 Get Directions Write a Review

NPPES record last updated: January 4, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mi-kyong Kim Shields Np NPPES

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

MI-KYONG KIM SHIELDS NP (NPI 1922571710) is an individual nurse practitioner in Peoria, Arizona, licensed in Arizona (AP11206) and active in the NPI registry since January 2019.

NPPES Registry Identity

NPI1922571710

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMI-KYONG KIM SHIELDSCredential: NP

Location Address13634 N 93RD AVE STE 100Peoria, AZ 85381-4915

Mailing Address16273 W. Meade LaneGoodyear, AZ 85338 · (623) 910-1761

Phone(623) 777-0081

Sole ProprietorYes

Enumeration DateJanuary 4, 2019

✔ NPI 1922571710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in AZ · AP11206

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License AP11206 (AZ)

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License AP11206 (AZ)

Also ListedNurse Practitioner · Critical Care MedicineTaxonomy 363LC0200X · License AP11206 (AZ)

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License AP11206 (AZ)

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License AP11206 (AZ)

13634 N 93RD AVE STE 100, Peoria, AZ 85381

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Other Providers at the Same Location NPPES 5

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

SUNRISE MEDICAL ASSOCIATES LLC

Internal Medicine