AMY SHAW (NPI# 1265068019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265068019 |
| Entity Type | Individual |
| Full Name | AMY SHAW |
| Credential | LAC |
| Practice Address |
2526 Highway 65 S Clinton AR 72031-6657 |
| Mailing Address |
2400 S 48th St Springdale AR 72762-6683 |
| Practice Telephone | 5017458007 |
| Practice Fax Number | 5017458220 |
| Mailing Telephone | 4797502020 |
| Enumeration Date | 2020-03-12 |
| Last Update Date | 2020-03-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
A2003047 | AR | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083070155 | Amy Shaw | Occupational Therapist | 3 Regan Rd, Walpole, MA 02081-4119 | 2016-01-05 |
| 1124360359 | Amy Leah Shaw | Internal Medicine | 525 E. 68th St., Payson 2, New York, NY 10065 | 2013-03-26 |
| 1538463328 | Amy S Shaw | Registered Nurse | 3422 Linda Ln, Baldwinsville, NY 13027-9217 | 2011-01-07 |
| 1134609266 | Amy L Shaw | Case Manager/Care Coordinator | 809 High St, Decatur, IN 46733-2324 | 2018-08-17 |
| 1467945345 | Amy Whitten Shaw | Behavior Technician | 2520 University Park Bldg D, Mount Pleasant, MI 48858-4464 | 2018-06-14 |
| 1447775085 | Amy Shaw | Specialist | 1909 Commerce Ave, Cullman, AL 35055-6151 | 2017-08-04 |
| 1942603097 | Amy Scott Shaw | Physician Assistant | 433 E 19th St, Cheyenne, WY 82001-4643 | 2014-10-03 |
| 1164846218 | Amy Shaw | Licensed Practical Nurse | 305 Mckinley Ave Nw, Canton, OH 44702-1717 | 2014-02-10 |
| 1700131117 | Amy M Shaw | Registered Nurse | 830 Chalkstone Ave, Providence, RI 02908-4734 | 2012-07-23 |
| 1881995751 | Amy C Shaw | Physical Therapist | 18951 N Memorial Dr, Humble, TX 77338-4217 | 2010-11-09 |
| Street Address |
2526 HIGHWAY 65 S |
| City | CLINTON |
| State | AR |
| Zip Code | 72031-6657 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710982871 | Keith A Coward | Internal Medicine | 2526 Highway 65 S, Suite 201, Clinton, AR 72031-6657 | 2005-06-16 |
| 1235624875 | Clinton Butler, LLC | Durable Medical Equipment & Medical Supplies | 2526 Highway 65 S, Clinton, AR 72031-6657 | 2018-06-26 |
| 1487191987 | Tanna Shockley | Nurse Practitioner | 2526 Highway 65 S, Ste 201, Clinton, AR 72031-6657 | 2017-01-23 |
| 1285090647 | Crystal Mcmahan | Nurse Practitioner | 2526 Highway 65 S, Suite 203, Clinton, AR 72031-6657 | 2016-01-14 |
| 1437526241 | Lisa Edwards | Nurse Practitioner | 2526 Highway 65 S, Ste 201, Clinton, AR 72031-6657 | 2015-08-27 |
| 1114318532 | Kyle Cotton | Physician Assistant | 2526 Highway 65 S, Clinton, AR 72031 | 2015-02-06 |
| 1710387584 | Alternative Oppurtunities | Community/Behavioral Health | 2526 Highway 65 S, Ste 202, Clinton, AR 72031-6657 | 2014-08-29 |
| 1144466970 | Health Resources of Arkansas, Inc. | Community/Behavioral Health | 2526 Highway 65 S, Clinton, AR 72031-6657 | 2008-12-29 |
| 1366614935 | Ozark Medical Clinic, LLC | Internal Medicine | 2526 Highway 65 S, Suite 201, Clinton, AR 72031-6657 | 2008-03-24 |
| 1013190040 | Cheryl L Winningham | Case Manager/Care Coordinator | 2526 Highway 65 S, Clinton, AR 72031-6657 | 2007-12-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447857909 | Marinda Renee Bryan | Pharmacist | 2526 Hwy 65 S. Ste 101, Clinton, AR 72031 | 2020-10-07 |
| 1740898584 | Jamie Beavers Dds, P.a. | Dentist | 354 Main Street, Clinton, AR 72031 | 2020-07-17 |
| 1992352637 | Peggy Michelle Mann | Occupational Therapy Assistant | 765 Yellow Jacket Lane, Clinton, AR 72031 | 2019-08-19 |
| 1225518475 | Rebecca Sangi | Counselor | 244 U.S. 65, Suite 6, Clinton, AR 72031 | 2018-08-17 |
| 1437668175 | Caitlin Abiseid Shull | Nurse Practitioner | 194 Shake Rag Rd, Clinton, AR 72031 | 2017-09-26 |
| 1386048890 | Jones Family Pharmacy Inc. | Pharmacy | 1930 Hwy 65 South, Clinton, AR 72031 | 2014-10-13 |
| 1275846784 | Timeless Family Chiropractic, LLC | Chiropractor | 116 Maxwell St., Clinton, AR 72031 | 2010-07-26 |
| 1417189481 | Karen Thomas | Case Manager/Care Coordinator | 1303 Hwy 65, Suite 3, Clinton, AR 72031 | 2009-08-10 |
| 1962637082 | Conway County Community Service Inc | Community/Behavioral Health | Hwy 65, Rt. 6, Box 243, Clinton, AR 72031 | 2009-05-19 |
| 1699910596 | Dorthy D Hill | Behavioral Analyst | 1681 Hwy 65 S, Clinton, AR 72031 | 2008-12-05 |
| Find all providers in zip 72031 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144832882 | Lativia S Brown | Counselor | 9500 Baymar Ct, Clinton, MD 20735-3399 | 2020-08-22 |
| 1013570449 | Jennifer Marie Bartkowiak | Counselor | 2 Williams St Ste 1, Clinton, NY 13323-1748 | 2019-04-22 |
| 1295290609 | Alexis Marie Coleman | Counselor | 205 Shields St, Clinton, NC 28328-3241 | 2019-02-11 |
| 1225592140 | India Alexis Kea | Counselor | 9015 Woodyard Rd Ste 210, Clinton, MD 20735-4209 | 2019-01-24 |
| 1477045995 | Dynamic Psychological & Mediation Services | Counselor | 104 S 7th St, Clinton, OK 73601 | 2018-05-31 |
| 1831688233 | Jed Black | Counselor | 1407 N 2000 W Ste J, Clinton, UT 84015-8563 | 2018-05-02 |
| 1093214116 | Amy Elizabeth Glaser | Counselor | 40 Fairview Ave, Clinton, NJ 08809-1330 | 2018-02-04 |
| 1437662509 | Nancy Anne Baumgartner | Counselor | 65 Old Highway 22 Ste 7b, Clinton, NJ 08809-1315 | 2017-11-13 |
| 1356868236 | Gwendolyn Blake | Counselor | 65 Old Rt. 22, Suite 7b, Clinton, NJ 08809 | 2017-08-23 |
| 1497282743 | Sharon Vessel | Counselor | 10105 Plank Road Suite A, Clinton, LA 70722 | 2017-05-17 |
| Find all providers in CLINTON | ||||
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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.