JACQUELYN SHAW (NPI# 1255649802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255649802 |
| Entity Type | Individual |
| Full Name | JACQUELYN SHAW |
| Credential | CPNP-PC |
| Practice Address |
15400 Southwest Fwy Suite 300 Sugar Land TX 77478-3875 |
| Mailing Address |
Po Box 841969 Dallas TX 75284-1969 |
| Practice Telephone | 2814913636 |
| Enumeration Date | 2010-09-16 |
| Last Update Date | 2010-09-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
546586 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720187347 | Jacquelyn Shaw | Obstetrics & Gynecology | 214 Terrace Avenue, Hasbrouck Heights, NJ 07604 | 2006-09-21 |
| 1821476771 | Jacquelyn Shaw | Student in an Organized Health Care Education/Training Program | 550 1st Ave, New York, NY 10016-6402 | 2015-05-12 |
| 1629320361 | Jacquelyn Shaw | Counselor | 3020 Bailey Ave, 2nd Floor, Buffalo, NY 14215-2814 | 2012-10-04 |
| Street Address |
15400 SOUTHWEST FWY SUITE 300 |
| City | SUGAR LAND |
| State | TX |
| Zip Code | 77478-3875 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376545715 | Susan Danziger | Pediatrics | 15400 Southwest Fwy, 300, Sugar Land, TX 77478-3875 | 2005-08-15 |
| 1083901680 | Shawnee Wong Gastal | Audiologist | 15400 Southwest Fwy, Suite 200, Sugar Land, TX 77478-3875 | 2011-07-01 |
| 1427378801 | Jenifer Dice | Physical Therapist | 15400 Southwest Fwy, Suite 310, Sugar Land, TX 77478-3875 | 2010-06-08 |
| 1235461534 | Jean I Encarnacion | Physician Assistant | 15400 Southwest Fwy, #125, Sugar Land, TX 77478-3875 | 2010-02-11 |
| 1457574832 | Jolene Vanderzyl | Dietitian, Registered | 15400 Southwest Fwy, Suite 205, Sugar Land, TX 77478-3875 | 2007-04-11 |
| 1417088006 | Keith E Schulze Md Pa | Dermatology | 15400 Southwest Fwy, Suite 150, Sugar Land, TX 77478-3875 | 2007-03-08 |
| 1013055029 | Soraya C Rodriguez | Physical Therapist | 15400 Southwest Fwy, Suite 100, Sugar Land, TX 77478-3876 | 2007-02-02 |
| 1174612162 | Keith E Schulze | Dermatology | 15400 Southwest Fwy, Suite 150, Sugar Land, TX 77478-3875 | 2006-10-11 |
| 1841390994 | Tch Pediatric Associates, Inc | Pediatrics | 15400 Southwest Fwy, Suite 300, Sugar Land, TX 77478-3875 | 2006-09-25 |
| 1689786600 | Erin Otness | Pediatrics | 15400 Southwest Fwy, Suite 300, Sugar Land, TX 77478-3875 | 2006-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538794474 | Guiding Light Family Services of Texas, LLC | Clinic/Center | 322 Richland Drive, Sugarland, TX 77478 | 2020-03-11 |
| 1326671066 | Parimal Patel | Physical Therapist | 15591 Creekbend Dr Ste 201, Sugar Land, TX 77478 | 2020-02-21 |
| 1811529662 | Alexandria Gallien | Pharmacist | 13322 W Airport Blvd, Sugar Land, TX 77478 | 2020-02-10 |
| 1760022024 | Ronald Blancett | Physical Therapist | 56 Sugar Creek Center Blvd Suite 150, Sugar Land, TX 77478 | 2020-01-14 |
| 1871141549 | Lyanne Y Colon | Physical Therapist | 20403 University Blvd #100, Sugar Land, TX 77478 | 2019-08-27 |
| 1487201927 | Ephesians 2:10 Holdings, LLC | In Home Supportive Care | 1415 Sh-6, Suite A-310, Sugar Land, TX 77478 | 2019-08-20 |
| 1902466519 | Houston Regional Pain and Regenerative Medicine Pllc | Anesthesiology | 15555 Creek Bend Rd, Unit 200, Sugarland, TX 77478 | 2019-06-17 |
| 1891354072 | Adc Serives:dental PC | Clinic/Center | 12921 West Bellfort, Sugar Land, TX 77478 | 2019-06-11 |
| 1033677026 | Yang Dental, Pllc | Clinic/Center | 2220 Eldridge Rd Ste 150, Sugar Land, TX 77478 | 2019-03-08 |
| 1689159501 | Rafael Williams | Behavior Technician | 225 Matlage Way, Sugar Land, TX 77478 | 2018-09-26 |
| Find all providers in zip 77478 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487964243 | Donnett Bell | Nurse Practitioner | 15551 Southwest Freeway, Sugar Land, TX 77478 | 2010-10-14 |
| 1568747111 | Olufunmilayo Priscilla Omole | Nurse Practitioner | 15551 Southwest Fwy, Sugar Land, TX 77478-3830 | 2011-10-14 |
| 1871532127 | Amanda Nguyen | Nurse Practitioner | 5610 W River Park Dr, Suite A, Sugar Land, TX 77479-7901 | 2006-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124629308 | Megan Marie Burson | Nurse Practitioner | 9002 Culebra Rd Unit 100, San Antonio, TX 78251-2873 | 2020-11-04 |
| 1275134355 | Trevor Hill | Nurse Practitioner | 19708 Northwest Fwy Ste 500, Jersey Village, TX 77065-5626 | 2020-11-04 |
| 1346849817 | Abbie Leigh Collins | Nurse Practitioner | 4499 Medical Dr Ste 289, San Antonio, TX 78229-3712 | 2020-10-25 |
| 1770182636 | Jenna Donlon | Nurse Practitioner | 3201 Western Center Blvd Ste 125, Fort Worth, TX 76137-7135 | 2020-10-21 |
| 1356949697 | Elizabeth Danielle Harrington | Nurse Practitioner | 213 Woodbine Dr, Burleson, TX 76028-6175 | 2020-10-09 |
| 1780291229 | Alexandra Messer | Nurse Practitioner | 6435 S Farm To Market, #201, Heath, TX 75032 | 2020-09-29 |
| 1679189567 | Jessica Dawn Crow | Nurse Practitioner | 801 Nuthatch Ct, Northlake, TX 76226-2863 | 2020-09-16 |
| 1457965436 | Jeanan Alameddine | Nurse Practitioner | 823 Catalpa Pl, Missouri City, TX 77459-5709 | 2020-09-07 |
| 1073127080 | Thelma Ivy Reyesmcchesney | Nurse Practitioner | 163 Village East Dr, Los Fresnos, TX 78566-3104 | 2020-09-07 |
| 1760095251 | Chelsey Jensen Bailey | Nurse Practitioner | 433 Sagebrush Dr, Aledo, TX 76008-1340 | 2020-08-25 |
| Find all providers with the same taxonomy | ||||
| City | SUGAR LAND |
| Zip Code | 77478 |
Please comment or provide details below to improve the information on JACQUELYN 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.