JEFFREY ALLEN SHAW


Address: 12303 Ne 130th Ln, Sutie 325, Kirkland, WA 98034-3099
Phone: 4258993140

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
WA 8372013 05

Other Providers JEFFREY SHAW

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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

Office Location

Street Address 12303 NE 130TH LN
SUTIE 325
City KIRKLAND
State WA
Zip Code 98034-3099

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City KIRKLAND
Zip Code 98034

Improve Information

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Dataset Information

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.

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