ALICIA C SHAW (NPI# 1124563275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124563275 |
| Entity Type | Individual |
| Full Name | ALICIA C SHAW |
| Credential | FNP |
| Practice Address |
300 N Morley St Ste A-c Moberly MO 65270-2334 |
| Mailing Address |
670 Mason Ridge Center Dr Ste 300 Saint Louis MO 63141-8573 |
| Practice Telephone | 6602631225 |
| Practice Fax Number | 6602631613 |
| Mailing Telephone | 6602631225 |
| Mailing Fax Number | 6602631613 |
| Enumeration Date | 2016-12-28 |
| Last Update Date | 2019-02-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
A153239 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2016043696 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
300 N MORLEY ST STE A-C |
| City | MOBERLY |
| State | MO |
| Zip Code | 65270-2334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598209512 | Taylor M Wesley | Physician Assistant | 300 N Morley St Ste A-c, Moberly, MO 65270-2334 | 2016-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538628052 | Thomas Johnston | Physical Therapist | Thrive Physical Therapy, LLC, 417 E Urbandale Drive, Moberly, MO 65270 | 2019-03-14 |
| 1245709682 | Sam's Prescription Shop, Inc. | Durable Medical Equipment & Medical Supplies | 300 N. Morley Street, Moberly, MO 65270 | 2018-11-15 |
| 1639324585 | Trinidad J. Aguilera | General Practice | 5201 South Morley, Moberly, MO 65270 | 2008-11-19 |
| 1023270170 | Jessica Winn | Internal Medicine | 1513 Union Ave Ste 1500, Moberly, MO 65270 | 2008-06-30 |
| 1629237383 | Heather Ann Lavalley | Physical Therapy Assistant | 1346 S Morley, Moberly, MO 65270 | 2008-06-06 |
| 1265602429 | Mckenzie Prescription Center Inc | Hearing Aid Equipment | 643 N Morley St Ste A, Moberly, MO 65270 | 2008-03-04 |
| 1366624165 | Sharon Kay Steele | Military Hospital | 1510 Highway Jj Lot41, Moberly, MO 65270 | 2007-12-04 |
| 1932241536 | Christian S Tadrus | Pharmacist | 530 E. 24 Highway, (26-39586), Moberly, MO 65270 | 2007-02-12 |
| 1588700140 | Heartland Neurology, LLC | Psychiatry & Neurology | 300 N. Morley, Suite H, Moberly, MO 65270 | 2007-01-30 |
| 1164571519 | John James Oloughlin | Dentist | 1616 N Morely, Ste B, Moberly, MO 65270 | 2007-01-08 |
| Find all providers in zip 65270 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194237586 | Christina Corinne Kirkendoll | Nurse Practitioner | 2100 Silva Ln Ste A, Moberly, MO 65270-3600 | 2017-10-25 |
| 1518977834 | Anita Marie Cox | Nurse Practitioner | 1600 N Morley St, Suite 120a, Moberly, MO 65270-3666 | 2006-08-09 |
| 1831118587 | Carla Price | Nurse Practitioner | 423 E Logan St, Moberly, MO 65270-2222 | 2006-07-19 |
| 1215933544 | Susan Y Rasmussen | Nurse Practitioner | 1501 Union Ave, Suite A, Moberly, MO 65270-9469 | 2005-06-22 |
| 1467911149 | Rachael Elizabeth Soles | Nurse Practitioner | 1319 E Highway 24, Moberly, MO 65270-3682 | 2019-03-13 |
| 1104291350 | Brooke D Gipson | Nurse Practitioner | 1319 E Highway 24, Moberly, MO 65270-3682 | 2015-12-13 |
| 1528450079 | Courtney Ramsey | Nurse Practitioner | 1501 Union Ave, Suite A & B, Moberly, MO 65270-9469 | 2015-02-20 |
| 1508275512 | Shelly Collins | Nurse Practitioner | 1145 S Morley St, Moberly, MO 65270-1901 | 2014-08-05 |
| 1912058082 | Lori Ann Montague | Nurse Practitioner | 423 E Logan St, Moberly, MO 65270-2222 | 2007-01-16 |
| 1295893998 | Shirley Thompson | Nurse Practitioner | 423 E Logan St, Moberly, MO 65270-2222 | 2006-12-05 |
| Find all providers in MOBERLY | ||||
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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.