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Kelly Shields, CNM

Nurse Practitioner, Obstetrics & Gynecology in San Diego, CA. Individual provider (NPI-1).

NPI number1265638993
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1265638993
Entity type
Individual (NPI-1)
Name
Ms. Kelly Shields
Credential
CNM
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 21, 2007
Last updated
Jul 8, 2007

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - CERTIFIED NURSE MIDWIFE (CNM)
Can order and refer
Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LX0001X Nurse Practitioner, Obstetrics & GynecologyCNM12240CAYes

Practice location

3343 4th Ave
San Diego, CA 92103-5703

Phone 619-299-0840 · Fax 619-299-0892

Mailing address

3343 4th Ave
San Diego, CA 92103-5703

Phone 619-299-0840 · Fax 619-299-0892

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Obstetrics & Gynecology Nurse Practitioner providers in San Diego, CA

All 14 Obstetrics & Gynecology Nurse Practitioner providers in San Diego · All 61,118 providers in San Diego

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