KYLE A SHAW (NPI# 1295168904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295168904 |
| Entity Type | Individual |
| Full Name | KYLE A SHAW |
| Practice Address |
762 Sunset Glen Dr San Jose CA 95123-4543 |
| Mailing Address |
475 W San Carlos St Apt 1108 San Jose CA 95110-2617 |
| Practice Telephone | 4082812435 |
| Enumeration Date | 2013-08-16 |
| Last Update Date | 2013-08-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SP 16774 | CA | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164906012 | Kyle Shaw | Speech-Language Pathologist | 3308 Alexander Way, Broomfield, CO 80023-8030 | 2018-09-17 |
| 1710410899 | Kyle Shaw | Podiatrist | 8011 W Chester Pike, Upper Darby, PA 19082-1317 | 2017-04-06 |
| 1003294117 | Kyle Drew Shaw | Student in an Organized Health Care Education/Training Program | 114 Squire Hall, Buffalo, NY 14214-8006 | 2015-05-08 |
| 1912041393 | Kyle C. Shaw | Student in an Organized Health Care Education/Training Program | 22 S Greene St, Baltimore, MD 21201-1544 | 2007-02-17 |
| Street Address |
762 SUNSET GLEN DR |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95123-4543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497273692 | Discovery Charter School II | Local Education Agency (LEA) | 762 Sunset Glen Dr, San Jose, CA 95123-4543 | 2017-09-07 |
| 1538589262 | Alaina Marshall | Marriage & Family Therapist | 762 Sunset Glen Dr, San Jose, CA 95123-4543 | 2014-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700441045 | Calvin Patrick Nell | Chiropractor | 5570 Sanchez Drive, Ste 100, San Jose, CA 95123 | 2019-05-02 |
| 1629557152 | Jia Tian | Dentist | 393 Blossom Hill Rd Ste 150, San Jose, CA 95123 | 2018-08-06 |
| 1003306176 | Western Dental Services, Inc. | Dentist | 451 Blossom Hill Rd Suite 20, San Jose, CA 95123 | 2018-05-15 |
| 1871004945 | Luxottica of America Inc | Eyewear Supplier (Equipment, not the service) | 5411 Thornwood Dr, San Jose, CA 95123 | 2017-10-17 |
| 1437672953 | Mie Mie Chiu | Dietitian, Registered | 276 Palm Valley Blvd #205, San Jose, CA 95123 | 2017-07-18 |
| 1902335300 | Alfredo Fernandez | Counselor | 5898 Paddon Circle, San Jose, CA 95123 | 2017-06-08 |
| 1780115444 | Christopher Vi Tran | Case Manager/Care Coordinator | 5579 Lean Avenue, San Jose, CA 95123 | 2017-03-24 |
| 1205370004 | Linxi Wu | Acupuncturist | 6064 Cahalan Ave, San Jose, CA 95123 | 2016-12-13 |
| 1013307651 | Kevin Dizon | Dental Hygienist | 6071 Sunstone Drive, San Jose, CA 95123 | 2015-02-04 |
| 1285031294 | Katie Tran | Dental Assistant | 524 Glenburry Way, San Jose, CA 95123 | 2014-11-20 |
| Find all providers in zip 95123 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144829433 | Anne Mathew | Speech-Language Pathologist | 2262 N 1st St, San Jose, CA 95131-2022 | 2020-10-19 |
| 1508464058 | Laurel Nakanishi | Speech-Language Pathologist | 6920 Santa Teresa Blvd Ste 101, San Jose, CA 95119-1344 | 2020-10-15 |
| 1013541952 | Maria Momin | Speech-Language Pathologist | 1033 S Daniel Way, San Jose, CA 95128-3124 | 2020-03-01 |
| 1619517661 | Anne Galiani | Speech-Language Pathologist | 760 N 7th St Apt 5207, San Jose, CA 95112-5044 | 2020-01-07 |
| 1538703749 | Kathy Holzhauer | Speech-Language Pathologist | 5828 Chesbro Ave, San Jose, CA 95123-3913 | 2019-10-30 |
| 1255980355 | Tiffany Chen | Speech-Language Pathologist | 950 Saint Elizabeth Dr, San Jose, CA 95126-3900 | 2019-09-10 |
| 1528611829 | Carnie M Tran | Speech-Language Pathologist | 107 Felice Ct, San Jose, CA 95138-1900 | 2019-07-17 |
| 1508424706 | Nicole Cavalea | Speech-Language Pathologist | 5948 Vista Loop, San Jose, CA 95124-6562 | 2019-06-03 |
| 1326604414 | Gurpreet Mandair | Speech-Language Pathologist | 615 N 17th St, San Jose, CA 95112-3029 | 2019-05-14 |
| 1144782178 | Catherine Anne Palumbo | Speech-Language Pathologist | 1644 Creek Dr, San Jose, CA 95125-1837 | 2019-03-31 |
| Find all providers in SAN JOSE | ||||
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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.