Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kathryn Kimberly Shaw, DNP, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1952105975

Kathryn Kimberly Shaw, DNP, FNP-BC is a Nurse Practitioner in Park City, Utah. Qualified in 2024, 2 years ago. Works from 2 locations. Licensed in Utah.

Years since qualifying
2
Licensed in
UT
In the registry since
2025
Specialties on file
2
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

See every abbreviation used in this directory →

Practice location Address checks out

1750 Sidewinder Dr
Park City, UT 84060-7570
Phone: (435) 649-7640
Fax: (435) 645-7768
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3315 W Mayflower Way Ste 4, Lehi, UT 84043-2927 — (801) 224-3031

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 9848969-4405 (UT)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 9848969-4405 (UT)

Record details

NPI number1952105975
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNP , FNP-BC
Sole proprietorNo
NPI enumeratedApril 1, 2025
Last updated in NPPESJanuary 15, 2026
Certification dateJanuary 15, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated

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