JEFFREY ALLEN SHAW (NPI# 1316099435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316099435 |
Entity Type | Individual |
Full Name | JEFFREY ALLEN SHAW |
Credential | PSY. D. |
Practice Address |
12303 Ne 130th Ln Sutie 325 Kirkland WA 98034-3099 |
Mailing Address |
Po Box 34036 Seattle WA 98124-1036 |
Practice Telephone | 4258993140 |
Practice Fax Number | 4258993131 |
Mailing Telephone | 4258993292 |
Enumeration Date | 2007-01-17 |
Last Update Date | 2010-10-14 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 103G00000X | Clinical Neuropsychologist | PY00002441 | WA | Behavioral Health & Social Service Providers |
N | 103TA0700X |
Psychologist Specialization: Adult Development & Aging |
PY00002441 | WA | Behavioral Health & Social Service Providers |
N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
PY00002441 | WA | Behavioral Health & Social Service Providers |
Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY00002441 | WA | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | 8372013 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730577073 | Jeffrey Shaw | Counselor | 3098 Glen Laurel Ln, Winston Salem, NC 27107-4454 | 2015-01-08 |
1851518955 | Jeffrey Henry Shaw | Pediatrics | 1150 Chapman Ln Unit 25, Medina, OH 44256-6714 | 2007-04-19 |
1033253059 | Jeffrey K. Shaw | Chiropractor | 2044 S Airport Rd W, Traverse City, MI 49684-4711 | 2007-02-16 |
1962593483 | Jeffrey Stephen Shaw | Psychologist | 25 Sutton Pl S Apt 17a, New York, NY 10022-2460 | 2006-09-28 |
1871765321 | Jeffrey S Shaw | Dentist | 3311 Glendale Blvd, Los Angeles, CA 90039-1812 | 2008-03-25 |
1003955964 | Jeffrey W Shaw | Chiropractor | 60 2nd St, Granby, CO 80446-0036 | 2007-02-06 |
1396768107 | Jeffrey B Shaw | Family Medicine | 935 State Route 28, Milford, OH 45150-1911 | 2006-07-25 |
1124083712 | Jeffrey L Shaw | Allergy & Immunology | 1821 S Webster Ave, Green Bay, WI 54301 | 2006-04-18 |
1114994456 | Jeffrey N Shaw | Anesthesiology | 800 E 28th St, Minneapolis, MN 55407-3723 | 2006-03-07 |
1326038399 | Jeffrey Gordon Shaw | Genetic Counselor, MS | 2222 N Nevada Ave, Cancer Administration, Colorado Springs, CO 80907-6831 | 2005-10-21 |
Street Address |
12303 NE 130TH LN SUTIE 325 |
City | KIRKLAND |
State | WA |
Zip Code | 98034-3099 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265436687 | Shannon Lee Bailey | Obstetrics & Gynecology | 12303 Ne 130th Ln, Suite 450, Kirkland, WA 98034-3099 | 2005-06-13 |
1598238966 | Transform Weight Loss LLC | Surgery | 12303 Ne 130th Ln, Kirkland, WA 98034-3099 | 2019-01-08 |
1720551195 | Peter S. Billing Md LLC | Surgery | 12303 Ne 130th Ln, Kirkland, WA 98034-3099 | 2019-01-08 |
1043695190 | Amy Bartnikowski | Advanced Practice Midwife | 12303 Ne 130th Ln, Kirkland, WA 98034-3099 | 2015-07-29 |
1003290073 | Xuemei Su | Nurse Practitioner | 12303 Ne 130th Ln, Ste400, Kirkland, WA 98034-3099 | 2015-07-19 |
1770913055 | Jocelyn Halverson | Nurse Practitioner | 12303 Ne 130th Ln, Ms 26, Kirkland, WA 98034-3099 | 2013-11-22 |
1073940219 | Rolin Alan Pruyn | Physician Assistant | 12303 Ne 130th Ln, Suite 550, Kirkland, WA 98034-3099 | 2013-10-02 |
1205137213 | Jennifer Anne Hamblett Mohr | Advanced Practice Midwife | 12303 Ne 130th Ln, Suite 225, Kirkland, WA 98034-3099 | 2010-11-07 |
1447563267 | Lisa Marguerite Arnold | Advanced Practice Midwife | 12303 Ne 130th Ln, Suite 500, Kirkland, WA 98034-3099 | 2010-07-21 |
1801107271 | Misung Kim | Internal Medicine | 12303 Ne 130th Ln, Suite 250, Kirkland, WA 98034-3099 | 2010-06-30 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578116596 | Rachel Bowers | Behavior Technician | 1335 Northeast 122nd Way, Suite 105, Kirkland, WA 98034 | 2019-07-18 |
1740841048 | Kristina Louise Inghram | Behavior Technician | 11415 Ne 128th St., Suite 40, Kirkland, WA 98034 | 2019-06-26 |
1053978064 | Matthew A. Bagnulo, Dds, Ps | Dentist | 11830 Ne 128th St., #202, Kirkland, WA 98034 | 2019-05-24 |
1629568928 | Stephanie Michalko | Optometrist | 11800 Ne 128th St Ste 110, Kirkland, WA 98034 | 2018-05-14 |
1952800013 | Heath Family Counseling LLC | Marriage & Family Therapist | 12025 115th Ave. Ne, Building D, Ste 200, Kirkland, WA 98034 | 2018-02-05 |
1891202834 | Barbara Josephine Gorham | Counselor | 2025 115th Ave Ne, Bldg D, #200, Kirkland, WA 98034 | 2017-12-29 |
1548782915 | Eleanor Hollis Wall | Counselor | 14340 102nd Ave Ne, Kirkland, WA 98034 | 2017-07-07 |
1457885212 | Peter Schoonmaker | Hospitalist | 12040 Ne 128th Street, Ms105, Kirkland, WA 98034 | 2017-04-18 |
1780124370 | Rebecca Managan | Advanced Practice Midwife | 12303 Ne 130th Ln Ste Coral225, Kirkland, WA 98034 | 2017-03-01 |
1669821104 | Winter Gonzalez | Counselor | 11720 97th Ln Ne Apt A411, Kirkland, WA 98034 | 2016-06-06 |
Find all providers in zip 98034 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003435694 | Jared Newman Kilmer | Psychologist | 12025 115th Ave Ne Ste 215, Kirkland, WA 98034-6943 | 2020-04-13 |
1902441751 | Pacific Wellness Partners (pwp) Pllc | Psychologist | 5400 Carillon Pt Bldg 50004th, Kirkland, WA 98033-7357 | 2019-11-14 |
1144688565 | Kamala Psychology and Yoga LLC | Psychologist | 603 4th Ave Ste 101, Kirkland, WA 98033 | 2016-01-30 |
1689997587 | Janet Maring Kowalski | Psychologist | 12220 113th Ave Ne Ste 210, Kirkland, WA 98034-6950 | 2010-03-05 |
1992849335 | Neal and Bakewell Psychological and Counseling Services Inc | Psychologist | 105 Central Way, Suite 200, Kirkland, WA 98033-6162 | 2007-02-19 |
1164594347 | David Wesley Montgomery | Psychologist | 433 State St Ste 2, Kirkland, WA 98033-6615 | 2006-11-14 |
1760567580 | Michelle Toshika Toshima | Psychologist | 12333 Ne 130th Ln Ste 225, Kirkland, WA 98034-7467 | 2006-10-27 |
1518040732 | Scott William Lee | Psychologist | 12412 Ne 112th Pl, Kirkland, WA 98033-4111 | 2006-10-23 |
1568560282 | Paul David Smetko | Psychologist | 10604 Ne 38th Pl, Suite 132, Kirkland, WA 98033-7933 | 2006-09-20 |
1386746139 | Karen Anne Beckman | Psychologist | 620 Kirkland Way Ste 104, Kirkland, WA 98033-6021 | 2006-09-02 |
Find all providers in KIRKLAND |
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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.