KELLY SHAW (NPI# 1336762822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336762822 |
| Entity Type | Individual |
| Full Name | KELLY SHAW |
| Credential | PA |
| Practice Address |
9800 Warwickshire Ln Charlotte NC 28270-1601 |
| Practice Telephone | 7042086408 |
| Enumeration Date | 2020-05-19 |
| Last Update Date | 2020-05-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114113214 | Kelly L Shaw | Registered Nurse | 8154 Painted Tree Trl, Fort Worth, TX 76131-4559 | 2007-09-21 |
| 1801928924 | Kelly P Shaw | Dentist | 75-5995 Kuakini Hwy Ste 113, Kailua Kona, HI 96740-2120 | 2007-03-12 |
| 1780231100 | Kelly Grace Shaw | Behavior Technician | 565 Benfield Rd Ste 300, Severna Park, MD 21146-2517 | 2019-08-21 |
| 1700277852 | Kelly Shaw | Registered Nurse | 5901 E 7th St, Long Beach, CA 90822-5201 | 2015-02-11 |
| 1205226107 | Kelly Corey Shaw | Acupuncturist | 6018 Se Stark St, Portland, OR 97215-1990 | 2015-01-29 |
| 1790049807 | Kelly Shaw | Speech-Language Pathologist | 5219 88th Ave, Kenosha, WI 53144-7468 | 2012-07-03 |
| 1720213358 | Kelly Shaw | Social Worker | 1001 Georges Station Rd, Greensburg, PA 15601-6982 | 2009-05-27 |
| 1740431915 | Kelly Shaw | Physical Therapist | 200 2nd Ave, Kingston, PA 18704-5722 | 2008-10-07 |
| 1376723874 | Kelly Anne Shaw | Counselor | 200 Heritage Way, Kalispell, MT 59901-3146 | 2007-11-13 |
| 1235255829 | Kelly Shaw | Occupational Therapy Assistant | 19401 S Vermont Ave, Suite A-200, Torrance, CA 90502-1029 | 2007-03-22 |
| Street Address |
9800 WARWICKSHIRE LN |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28270-1601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265902837 | Gregory David Lineberger Sr. | Counselor | 1811 Sardis Road North Suite 207, Charlotte, NC 28270 | 2018-11-27 |
| 1174093751 | Lineberger Christian Counseling, Pllc | Clinic/Center | 1811 Sardis Road North, Suite 207, Charlotte, NC 28270 | 2018-11-27 |
| 1922524818 | Danielle Jean Whittington | Social Worker | 7309 Harrisonwoods Pl, Charlotte, NC 28270 | 2017-08-22 |
| 1588185508 | Mary Wennen | Social Worker | 801 Lansdowne Road, Charlotte, NC 28270 | 2017-06-29 |
| 1982089595 | Jessica Davis | Pharmacist | 1021 Morehead Medical Drive, Charlotte, NC 28270 | 2015-07-24 |
| 1275958399 | Matthews Psychological and Family Services, Pllc | Psychologist | 1811 Sardis Road North, Suite 207, Charlotte, NC 28270 | 2014-02-26 |
| 1467886978 | G Abrams R Cohen Vii PC | Dentist | 1605 Galleria Blvd., Suite 110, Charlotte, NC 28270 | 2013-09-03 |
| 1093148041 | Shari Howie | Lactation Consultant, Non-RN | 4400 Bellwood Lane, Charlotte, NC 28270 | 2013-08-14 |
| 1225477052 | L Richardson Home | Psychiatric Residential Treatment Facility | 9828 Addison Gray Lane, Charlotte, NC 28270 | 2013-06-14 |
| 1619287083 | Linda Virginia Stewart | Social Worker | 9314 Valley Road, Charlotte, NC 28270 | 2010-10-19 |
| Find all providers in zip 28270 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215544564 | Umuhire Ntabana | Student in an Organized Health Care Education/Training Program | 712 Woodruff Pl, Charlotte, NC 28208-4552 | 2020-09-29 |
| 1184236226 | Andrea Rose Corpus | Student in an Organized Health Care Education/Training Program | 7617 Grayling Ct, Charlotte, NC 28227-1200 | 2020-08-19 |
| 1548871445 | Deborah Hugh | Student in an Organized Health Care Education/Training Program | 4924 Dawnridge Dr, Charlotte, NC 28226-8088 | 2020-08-13 |
| 1922619337 | Connor Michael Gordley | Student in an Organized Health Care Education/Training Program | 824 Autumn Rain Ln, Charlotte, NC 28209-4794 | 2020-08-11 |
| 1396356796 | Kaitlin Anne Phelps | Student in an Organized Health Care Education/Training Program | 1315 Harding Pl Apt 342, Charlotte, NC 28204-3542 | 2020-08-11 |
| 1891306106 | Grace Horrall | Student in an Organized Health Care Education/Training Program | 2808 Griffith St Apt 3111, Charlotte, NC 28203-2406 | 2020-08-11 |
| 1124642756 | Umanah Healthcare Institute | Student in an Organized Health Care Education/Training Program | 5801 Executive Center Dr Ste 103, Charlotte, NC 28212-8870 | 2020-05-29 |
| 1407479108 | Sarah Anderson | Student in an Organized Health Care Education/Training Program | 12715 Mosby Ln, Charlotte, NC 28273-4841 | 2020-05-28 |
| 1043833916 | Rachel Marleen Grove | Student in an Organized Health Care Education/Training Program | 1908 Piedmont Hills Pl Apt 828, Charlotte, NC 28217-6716 | 2020-05-26 |
| 1669095733 | Zachary A Wood | Student in an Organized Health Care Education/Training Program | 1042 Newfound Hollow Dr, Charlotte, NC 28214-8823 | 2020-05-25 |
| Find all providers in CHARLOTTE | ||||
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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.