HEATHER SHAW (NPI# 1013557354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013557354 |
| Entity Type | Individual |
| Full Name | HEATHER SHAW |
| Credential | FNP-C |
| Practice Address |
2858 Sunset Blvd West Columbia SC 29169-3420 |
| Practice Telephone | 8036999073 |
| Practice Fax Number | 8665270937 |
| Mailing Telephone | 8036999073 |
| Mailing Fax Number | 8665270937 |
| Enumeration Date | 2020-01-15 |
| Last Update Date | 2020-09-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
92160 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023665692 | Heather Shaw | Peer Specialist | 3117 Meadowbrook Blvd, Cleveland Heights, OH 44118-2849 | 2019-08-19 |
| 1356685135 | Heather Shaw | Physician Assistant | 10238 Sw 86th Cir Unit 300, Ocala, FL 34481-7625 | 2012-11-19 |
| 1952336760 | Heather Ann Shaw | Chiropractor | 844 Jackson Street, Santa Clara, CA 95050 | 2006-07-11 |
| 1073079174 | Heather Anne Shaw | Speech-Language Pathologist | 510 Carpenter Ave, Mooresville, NC 28115-2512 | 2019-02-13 |
| 1760977359 | Heather Shaw | Specialist/Technologist, Other | 2910 Brownwood Blvd, The Villages, FL 32163-2032 | 2018-06-26 |
| 1366991556 | Heather Nicole Shaw | Licensed Practical Nurse | 1010 E 10th St, Tucson, AZ 85719-5813 | 2016-09-28 |
| 1629343579 | Heather Shaw | Occupational Therapist | 3817 Cloverhill Ct, Brandon, FL 33511-7937 | 2012-03-11 |
| 1487989349 | Heather Denise Shaw | Physical Therapy Assistant | 601 N Briarcliff Dr, Appleton, WI 54915-2959 | 2009-10-12 |
| 1972732667 | Heather Rene Shaw | Counselor | 5450 Power Inn Rd Ste B, Sacramento, CA 95820-6749 | 2009-07-02 |
| 1073641643 | Heather Catherine Shaw | Nurse Practitioner | 300 Pasteur Dr, Stanford, CA 94305-2200 | 2007-03-02 |
| Street Address |
2858 SUNSET BLVD |
| City | WEST COLUMBIA |
| State | SC |
| Zip Code | 29169-3420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285630020 | Keith Alexander Guest | Internal Medicine | 2858 Sunset Blvd, West Columbia, SC 29169-3420 | 2005-06-27 |
| 1407402191 | Rachel Kelley | Social Worker | 2858 Sunset Blvd, West Columbia, SC 29169-3420 | 2019-08-17 |
| 1851953574 | Yolanda Felita Boyd-gantt | Family Medicine | 2858 Sunset Blvd, West Columbia, SC 29169-3420 | 2019-07-02 |
| 1699257196 | Janette Suzanne Street | Nurse Practitioner | 2858 Sunset Blvd, West Columbia, SC 29169-3420 | 2018-08-30 |
| 1285040329 | Lavon Fenderson | Nurse Practitioner | 2858 Sunset Blvd, West Columbia, SC 29169-3420 | 2014-07-09 |
| 1689948911 | Scottie M Shelley | Hospitalist | 2858 Sunset Blvd, West Columbia, SC 29169-3420 | 2012-03-05 |
| 1023155728 | Senior Health Associates, Pa | Internal Medicine | 2858 Sunset Blvd, West Columbia, SC 29169-3420 | 2007-01-31 |
| 1891854873 | James O Williams Jr. | Family Medicine | 2858 Sunset Blvd, West Columbia, SC 29169-3420 | 2006-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457960726 | Jerry Scott Oreilly | Physical Therapy Assistant | 100 Dreher Rd, Suite 100, West Columbia, SC 29169 | 2020-07-23 |
| 1134759921 | A&m Medical, LLC | Durable Medical Equipment & Medical Supplies | 1053 Sunset Boulevard, West Columbia, SC 29169 | 2020-01-21 |
| 1750946067 | First Physical Therapy, LLC | Clinic/Center | 100 Dreher Rd., Suite 100, West Columbia, SC 29169 | 2019-05-02 |
| 1295217545 | Tynaka Kwans Wilson | Nurse Practitioner | Sc House Calls Inc, 1053 Center Street, West Columbia, SC 29169 | 2018-09-04 |
| 1588183826 | Kimberly Jane Jennings | Registered Nurse | 1052 Center Street, Sc House Calls Inc, West Columbia, SC 29169 | 2017-09-19 |
| 1164943213 | Jacob Luke Wayland | Emergency Medicine | Lexington Medical Center-emergency Medicine Dept, 2720 Sunset Blvd, West Columbia, SC 29169 | 2017-06-29 |
| 1740721232 | Heather Detwiler | Physical Therapy Assistant | 2705 Leaphart Rd., Carolina Gardens, West Columbia, SC 29169 | 2017-03-16 |
| 1588110761 | Virginia I Hall | Nurse Practitioner | 2720 Susnet Blvd, West Columbia, SC 29169 | 2016-08-29 |
| 1215395744 | Stacey Khalifa | Social Worker | 160 Medical Cir Fl 1, West Columbia, SC 29169 | 2016-01-28 |
| 1407252331 | Sandy Frye Boone | Counselor | 2318 Sunset Blvd # 2a, West Columbia, SC 29169 | 2014-11-04 |
| Find all providers in zip 29169 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861052425 | Kendrea Moore | Nurse Practitioner | 1053 Center St Ste 100, West Columbia, SC 29169-6749 | 2019-06-17 |
| 1295217545 | Tynaka Kwans Wilson | Nurse Practitioner | Sc House Calls Inc, 1053 Center Street, West Columbia, SC 29169 | 2018-09-04 |
| 1922349174 | Falon Leshay Turner | Nurse Practitioner | 668 W Brazos Ave, West Columbia, TX 77486-2616 | 2013-03-13 |
| 1972889590 | Holly Rene Owens | Nurse Practitioner | 120 E Medical Ln, West Columbia, SC 29169-4814 | 2011-10-27 |
| 1629378054 | Stephanie L Mccravy | Nurse Practitioner | 2858 Sunset Blvd Ste B, West Columbia, SC 29169-3420 | 2010-11-02 |
| 1740596634 | Holly C. Edmunds | Nurse Practitioner | Sc House Calls, 1053 Center Street, West Columbia, SC 29169-6749 | 2010-08-30 |
| 1891879326 | Sheila D Belton-gaymon | Nurse Practitioner | 3140 Sunset Blvd, West Columbia, SC 29169 | 2006-10-24 |
| 1669400032 | Jennifer Kirke Lewis Babb | Nurse Practitioner | 1053 Center Street, Sc House Calls Inc, West Columbia, SC 29169 | 2006-06-28 |
| 1639779853 | Comeshia Anna Deshay Lemon | Nurse Practitioner | 1053 Center St, West Columbia, SC 29169-6749 | 2020-10-27 |
| 1669071163 | Amanda Suggs | Nurse Practitioner | 1053 Center St, West Columbia, SC 29169-6749 | 2020-10-26 |
| Find all providers in WEST COLUMBIA | ||||
| City | WEST COLUMBIA |
| Zip Code | 29169 |
Please comment or provide details below to improve the information on HEATHER SHAW.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.