ANGELA L SHAW (NPI# 1154562049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154562049 |
| Entity Type | Individual |
| Full Name | ANGELA L SHAW |
| Credential | PNP |
| Practice Address |
1937 S Burnside Ave Gonzales LA 70737-4632 |
| Mailing Address |
5959 S Sherwood Forest Blvd Baton Rouge LA 70816-6038 |
| Practice Telephone | 2257655500 |
| Mailing Telephone | 2255260001 |
| Mailing Fax Number | 2257659244 |
| Enumeration Date | 2009-03-23 |
| Last Update Date | 2019-10-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
AP05787 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
RN107541 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1884910 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 12525 Perkins Rd, Baton Rouge, LA 708101907 | 2257658341 | |
| 6650 Glen Oaks Drive, Baton Rouge, LA 70812 | 2253559759 | 2253558650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518466077 | Angela Marie Shaw | Physician Assistant | 3550 N Lake Shore Dr Apt 510, Chicago, IL 60657-1920 | 2018-02-09 |
| 1851803209 | Angela Greenwald Shaw | Speech-Language Pathologist | 922 Myrtle Ave, Dixon, IL 61021-1430 | 2017-10-25 |
| 1023418894 | Angela Shaw | Dentist | 9961 East Valley Blvd., Suite E, El Monte, CA 91731-1053 | 2014-08-29 |
| 1881925923 | Angela Mae Shaw | Registered Nurse | 224 Harmon St Sw, North Canton, OH 44720-3063 | 2010-01-28 |
| 1639730013 | Angela M Shaw | Nurse Practitioner | 4757 S 7th St, Terre Haute, IN 47802-4559 | 2019-06-26 |
| 1104304864 | Angela F Shaw | Licensed Vocational Nurse | 9846 Hwy 31 E, Tyler, TX 75705-2329 | 2018-08-03 |
| 1033567649 | Angela Shaw | Social Worker | 250 North Ave, Athens, GA 30601-2244 | 2016-05-25 |
| 1033531991 | Angela Shaw | Counselor | 635 N Main St, Wichita, KS 67203-3602 | 2014-01-13 |
| 1316372071 | Angela L Shaw | Registered Nurse | 2233 W Parnall Rd, Jackson, MI 49201-9000 | 2013-09-12 |
| 1558612382 | Angela Marie Shaw | Pediatrics | 800 Rose St, Lexington, KY 40536-4009 | 2012-09-19 |
| Street Address |
1937 S BURNSIDE AVE |
| City | GONZALES |
| State | LA |
| Zip Code | 70737-4632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104822774 | Robert P. St. Amant | Family Medicine | 1937 S Burnside Ave, Gonzales, LA 70737-4632 | 2005-06-28 |
| 1891179982 | Darlene Bonadona | Nurse Practitioner | 1937 S Burnside Ave, Gonzales, LA 70737-4632 | 2015-07-17 |
| 1568845493 | Kathryn Jewell | Nurse Practitioner | 1937 S Burnside Ave, Gonzales, LA 70737-4632 | 2015-07-09 |
| 1871987982 | Dawn Williams | Social Worker | 1937 S Burnside Ave, Gonzales, LA 70737-4632 | 2015-03-26 |
| 1659776482 | Heather Elizabeth Hymel | Nurse Practitioner | 1937 S Burnside Ave, Gonzales, LA 70737-4632 | 2014-10-22 |
| 1821382631 | Paula Denise Julian | Nurse Practitioner | 1937 S Burnside Ave, Gonzales, LA 70737-4632 | 2011-06-09 |
| 1578885240 | Adult Medicine Institute & Diagnostic Center | Clinic/Center | 1937 S Burnside Ave, Gonzales, LA 70737-4632 | 2010-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407461593 | Scott G Petrie Md Apmc | Non-Pharmacy Dispensing Site | 1014 West St Clare Boulevard, Ste 1020, Gonzales, LA 70737 | 2020-09-15 |
| 1407461981 | Bryant Louis Bourgeois | Dentist | 13317 N Burnside, Gonzales, LA 70737 | 2020-09-11 |
| 1821612631 | Kene Anje Hamilton | Behavioral Analyst | 1028 East Worthy Street, Gonzales, LA 70737 | 2020-06-08 |
| 1801428636 | Mercedes Francis | Behavior Technician | 1023 E W Worthy Rd, Gonzales, LA 70737 | 2020-02-10 |
| 1407347586 | Functional Dme | Prosthetic/Orthotic Supplier | 219 W. Eastbank St., Ste B, Gonzales, LA 70737 | 2018-05-23 |
| 1235631789 | Transporting On Purpose | Non-emergency Medical Transport (VAN) | 42148 Conifer Drive, Gonzales, LA 70737 | 2018-03-01 |
| 1215453121 | Michelle Fuller Harris | Social Worker | 39094 N Angelle Ct, Gonzales, LA 70737 | 2017-08-22 |
| 1215452529 | Lani Litchfield | Specialist/Technologist | 13341 W. Mill Grove Dr, Gonzales, LA 70737 | 2017-08-08 |
| 1326569369 | Tyler Joshua Turner | Counselor | 1923 South Edwards, Gonzales, LA 70737 | 2017-06-29 |
| 1518408046 | Margaret Madere | Social Worker | 2827 S Ruby Street, Gonzales, LA 70737 | 2017-03-16 |
| Find all providers in zip 70737 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659776482 | Heather Elizabeth Hymel | Nurse Practitioner | 1937 S Burnside Ave, Gonzales, LA 70737-4632 | 2014-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174138473 | Nickolas Matthews | Nurse Practitioner | 1307 Crowley Rayne Hwy Ste B, Crowley, LA 70526-8210 | 2020-09-14 |
| 1841809258 | Brandi Schwab | Nurse Practitioner | 157 Belington Ave, Madisonville, LA 70447-9109 | 2020-07-31 |
| 1780293878 | Cornerstone Childrens Clinic LLC | Nurse Practitioner | 44546 S Airport Rd Ste F, Hammond, LA 70403-0312 | 2020-07-24 |
| 1629691530 | Bayou Pediatrics | Nurse Practitioner | 2649 Arkansas Rd, West Monroe, LA 71291-8617 | 2020-05-27 |
| 1295376374 | Tatjana Michele Mimes | Nurse Practitioner | 3975 I 49 S Service Rd Ste 201, Opelousas, LA 70570-0775 | 2019-09-30 |
| 1063067411 | Arwa Mohammed Mohammed | Nurse Practitioner | 101 Medical Park Blvd Ste A, Pineville, LA 71360-8426 | 2019-08-02 |
| 1477118065 | Erin L Hurt | Nurse Practitioner | 59101 Amber St, Slidell, LA 70461-3708 | 2019-05-08 |
| 1033679501 | Laura Elizabeth Williamson | Nurse Practitioner | 501 Medical Center Dr Ste 100, Alexandria, LA 71301-8124 | 2019-03-21 |
| 1043703010 | Samantha Lee Lovecchio | Nurse Practitioner | 120 Ochsner Blvd Ste 245, Gretna, LA 70056-5280 | 2018-06-13 |
| 1225539620 | Micah Aaron Callais | Nurse Practitioner | 604 N. Acadia Road, Suite 200, Thibodaux, LA 70301 | 2018-02-22 |
| Find all providers with the same taxonomy | ||||
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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.