DANIEL ANTWAIN SHAW (NPI# 1063836609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063836609 |
Entity Type | Individual |
Full Name | DANIEL ANTWAIN SHAW |
Credential | MAE |
Practice Address |
605 S. Pottenger Ave Shawnee OK 74801 |
Practice Telephone | 4057142143 |
Mailing Telephone | 4057142143 |
Enumeration Date | 2014-02-18 |
Last Update Date | 2014-06-05 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952777096 | Daniel Robert Shaw | Dentist | 25522 Marguerite Pkwy Ste 100, Mission Viejo, CA 92692-2920 | 2015-08-12 |
1356587455 | Daniel B Shaw | Specialist/Technologist, Other | 2611 Klusner Ave, Parma, OH 44134-5013 | 2008-12-20 |
1649260654 | Daniel D Shaw | Physical Therapist | 290 W Georgia Ave, Nampa, ID 83686-2835 | 2005-10-21 |
1891789731 | Daniel Alan Shaw | Orthopaedic Surgery | 541 E Broad St, Westfield, NJ 07090-2107 | 2005-09-07 |
1811519788 | Daniel Shaw | Dietitian, Registered | 300 Main St, Lewiston, ME 04240-7027 | 2020-05-13 |
1265087290 | Daniel Laurence Shaw | Nurse Practitioner | 1600 N Rose Ave, Oxnard, CA 93030-3722 | 2019-08-06 |
1295388833 | Daniel Rochelle Shaw | Behavioral Analyst | 8001 Sw 36th St Ste 9, Davie, FL 33328-1915 | 2019-07-23 |
1114493756 | Daniel S Shaw | Nurse Practitioner | 107 Jv Mangubat Dr, Waynesboro, TN 38485-2440 | 2018-10-22 |
1699271189 | Daniel Leonard Shaw | Student in an Organized Health Care Education/Training Program | 1 Deaconess Rd, Rosenberg Building, 2nd Floor, Boston, MA 02215-5321 | 2018-04-03 |
1104349182 | Daniel J Shaw | Dentist | 943 W Ironwood Dr Ste 200, Coeur D Alene, ID 83814-4904 | 2017-07-20 |
Street Address |
605 S. POTTENGER AVE |
City | SHAWNEE |
State | OK |
Zip Code | 74801 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538609037 | Melissa Lanier | Specialist | 801 N. Louisa, Shawnee, OK 74801 | 2017-03-02 |
1518365287 | Melanie A. Croy | Counselor | 1605 N. Harrison, Shawnee, OK 74801 | 2014-12-12 |
1134532229 | Megan Malouf | Registered Nurse | 2307 Gordon Cooper Dr., Shawnee, OK 74801 | 2014-06-05 |
1639514862 | Cheryl Jeannette Left Hand | Counselor | 101 N. Union, Shawnee, OK 74801 | 2013-05-01 |
1881948644 | Lena I Samilton | Counselor | 319 S. Kennedy Ave., Apt.112, Shawnee, OK 74801 | 2012-11-01 |
1235433681 | Jenifer Sloan | Case Manager/Care Coordinator | 2029 S. Gordon Cooper Dr., Shawnee, OK 74801 | 2010-12-28 |
1295854958 | Jack C Luman | Dentist | 1410 N Harrison St, Shawnee, OK 74801 | 2007-03-27 |
1942375274 | M Gerald Ball | Psychologist | 819 North Kickapoo, Shawnee, OK 74801 | 2006-11-21 |
1205912573 | Regina Steciak Tanner | Physical Therapist | 909 N Kickapoo, Shawnee, OK 74801 | 2006-10-31 |
1699862441 | Lena Diance Henderson | Counselor | 126 N. Bell, Shawnee, OK 74801 | 2006-10-05 |
Find all providers in zip 74801 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417431081 | Cura Counseling and Professional Development LLC | Counselor | 611 N Bonita Ave, Shawnee, OK 74801-6038 | 2018-09-19 |
1134614589 | Sayble Paige Turner | Counselor | 600 W Independence St Ste 1000, Shawnee, OK 74804-4320 | 2018-06-28 |
1548707169 | Courtney J Vaughn | Counselor | 600 W Independence St Ste 9010, Shawnee, OK 74804-4320 | 2017-01-20 |
1538567284 | Virgil Newport Jr. | Counselor | 2524 N Harrison St Trlr 8, Shawnee, OK 74804-3103 | 2014-12-11 |
1386064426 | Cassandra Alexander | Counselor | 6305 Moon Lake Cir, Shawnee, OK 74804-2649 | 2014-04-16 |
1639514862 | Cheryl Jeannette Left Hand | Counselor | 101 N. Union, Shawnee, OK 74801 | 2013-05-01 |
1386981017 | Janet Wilson | Counselor | 6826 Lackman Rd, Shawnee, KS 66217-9595 | 2013-01-15 |
1891051330 | Malita Elice Green | Counselor | 102 Ashley Dr, Shawnee, OK 74804-9710 | 2012-04-10 |
1275800997 | Latrice Vernice Jackson | Counselor | 1415 E 10th St, 2425 Lenore St., Shawnee, OK 74801-7801 | 2011-11-23 |
1689941510 | Reginald Johnson | Counselor | 14203 Brangus Rd, Shawnee, OK 74804-3330 | 2011-11-21 |
Find all providers in SHAWNEE |
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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.