DANIEL S SHAW (NPI# 1114493756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114493756 |
Entity Type | Individual |
Full Name | DANIEL S SHAW |
Credential | ACNP |
Practice Address |
107 Jv Mangubat Dr Waynesboro TN 38485-2440 |
Mailing Address |
Po Box 689 Waynesboro TN 38485-0689 |
Practice Telephone | 9317222800 |
Practice Fax Number | 9317229627 |
Mailing Telephone | 9317222800 |
Mailing Fax Number | 9317229627 |
Enumeration Date | 2018-10-22 |
Last Update Date | 2018-10-23 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
24734 | TN | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952777096 | Daniel Robert Shaw | Dentist | 25522 Marguerite Pkwy Ste 100, Mission Viejo, CA 92692-2920 | 2015-08-12 |
1063836609 | Daniel Antwain Shaw | Counselor | 605 S. Pottenger Ave, Shawnee, OK 74801 | 2014-02-18 |
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 |
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 |
107 JV MANGUBAT DR |
City | WAYNESBORO |
State | TN |
Zip Code | 38485-2440 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285629287 | Joe I Hall | Family Medicine | 107 Jv Mangubat Dr, Waynesboro, TN 38485-2440 | 2005-09-15 |
1780143297 | Kaitlyn Kelly | Nurse Practitioner | 107 Jv Mangubat Dr, Waynesboro, TN 38485-2440 | 2019-03-14 |
1003384645 | Hillary J Cope | Nurse Practitioner | 107 Jv Mangubat Dr, Waynesboro, TN 38485-2440 | 2018-11-12 |
1144705765 | Hall Clinic, Inc. | Family Medicine | 107 Jv Mangubat Dr, Waynesboro, TN 38485-2440 | 2018-09-28 |
1285067280 | Duren Clinical Services | Pharmacy | 107 Jv Mangubat Dr, Waynesboro, TN 38485-2440 | 2013-08-13 |
1447586508 | Valerie Ann Hall | Nurse Practitioner | 107 Jv Mangubat Dr, Waynesboro, TN 38485-2440 | 2009-10-26 |
1164405221 | Patricia D Castleman | Nurse Practitioner | 107 Jv Mangubat Dr, Waynesboro, TN 38485-2440 | 2005-11-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760903066 | Wayne Provision | Community/Behavioral Health | 950 Andrew Jackson Drive, Waynesboro, TN 38485 | 2017-06-28 |
1407387772 | Nelda Prater | Counselor | 942 Andrew Jackson Dr., Waynesboro, TN 38485 | 2017-03-27 |
1427479328 | Tennessee Pain Management Associates | Pain Medicine | 530 Us Hwy 64, Suite 5, Waynesboro, TN 38485 | 2013-12-18 |
1982031415 | Donna J Casteel | Nurse Practitioner | 107 Jv Mangubat Drive, Waynesboro, TN 38485 | 2013-09-30 |
1316371222 | Wes Yeiser Donaldson | Physical Therapy Assistant | 183 Long Vue, Waynesboro, TN 38485 | 2013-08-27 |
1407096829 | Brian Paul Coggins | Physical Therapist | 514 South High St, Waynesboro, TN 38485 | 2009-02-25 |
1467691600 | At Home Meds, LLC | Durable Medical Equipment & Medical Supplies | 1126 B Collinwood Highway, Waynesboro, TN 38485 | 2009-02-11 |
1730375908 | Best Medical Inc. | Durable Medical Equipment & Medical Supplies | 905 Andrew Jackson Drive, Suite C, Waynesboro, TN 38485 | 2007-09-20 |
1295933661 | Air Evac Ems Inc. | Ambulance | 915 Andrew Jackson Drive, Waynesboro, TN 38485 | 2007-07-06 |
1871650895 | Mrh Dba Wmc | Nursing Facility/Intermediate Care Facility | 505 South High Street, Waynesboro, TN 38485 | 2007-01-02 |
Find all providers in zip 38485 |
Taxonomy Code | 363LG0600X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Gerontology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134728272 | Sophie Jernigan | Nurse Practitioner | 561 Elaine Dr, Nashville, TN 37211-3629 | 2020-10-20 |
1376187849 | Prospero Health Partners, P.C. | Nurse Practitioner | 40 S Main St Ste 1300, Memphis, TN 38103-5513 | 2019-10-29 |
1447814017 | Terri Barger | Nurse Practitioner | 55 Chamberlain Dr, Humboldt, TN 38343-8568 | 2019-04-29 |
1114493848 | Sabrina Stover | Nurse Practitioner | 721 Glenwood Dr Ste W552, Chattanooga, TN 37404-1137 | 2018-10-20 |
1164876876 | Charlotte Bisanz | Nurse Practitioner | 5400 Maryland Way, Brentwood, TN 37027-1005 | 2016-04-19 |
1639573025 | Charlotte Halkiades | Nurse Practitioner | 5125 Clearpool Pt S, Memphis, TN 38141-0253 | 2014-10-15 |
1699109660 | Senior Health Professionals LLC | Nurse Practitioner | 300 Celebration Cir, Franklin, TN 37067-1401 | 2013-08-27 |
1982980231 | Health Partners of Tennessee LLC | Nurse Practitioner | 137 De Armond Rd, Kingston, TN 37763-6415 | 2011-11-01 |
1174816375 | Ruby K Dunlap | Nurse Practitioner | 564 Rosedale Ave, Nashville, TN 37211-2048 | 2011-05-20 |
1497056337 | Cameron S Wright | Nurse Practitioner | 303 S Royal Oaks Blvd, Franklin, TN 37064-8216 | 2010-11-09 |
Find all providers with the same taxonomy |
City | WAYNESBORO |
Zip Code | 38485 |
Please comment or provide details below to improve the information on DANIEL S 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.