SHAUNDRA SHAW (NPI# 1346665478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346665478 |
| Entity Type | Individual |
| Full Name | SHAUNDRA SHAW |
| Practice Address |
2210 Lake Springs Ln Cordova TN 38016-5328 |
| Practice Telephone | 9018310462 |
| Practice Fax Number | 9015318026 |
| Mailing Telephone | 9018310462 |
| Mailing Fax Number | 9015318026 |
| Enumeration Date | 2014-02-26 |
| Last Update Date | 2014-02-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 172V00000X | Community Health Worker | 1000000010766 | TN | Other Service Providers |
| Street Address |
2210 LAKE SPRINGS LN |
| City | CORDOVA |
| State | TN |
| Zip Code | 38016-5328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548886872 | Megan Scott Bolton | Physical Therapist | 8110 Cordova Road Suite 107, Cordova, TN 38016 | 2020-06-23 |
| 1477195451 | Jacqueline Reeves Thomas | Counselor | Memphis Veterans Affairs Medical Center (vamc), 1030 Jefferson Ave, Memphis, TN 38016 | 2019-10-11 |
| 1376195842 | Robert Cody Heismann | Physical Therapist | 8110 Cordova Rd, Ste 107, Cordova, TN 38016 | 2019-07-15 |
| 1881189702 | Carolyn Bean | Home Health Aide | 1786 Beaver Trail Dr, Cordova, TN 38016 | 2018-06-22 |
| 1255776886 | Suzanne Elaine Baker | Family Medicine | 2257 North Germantown Parkway, Memphis, TN 38016 | 2013-05-09 |
| 1487806683 | Janet Lee Ferrell | Counselor | 1340 Siskin Drive, Cordova, TN 38016 | 2008-10-21 |
| 1114186624 | Rebecca L Bills | Optometrist | 1795 N Germantown Pkwy, Cordova, TN 38016 | 2008-06-09 |
| 1679784128 | Linda Kay Yates | Emergency Medicine | 1401 Dexter Lane, Cordova, TN 38016 | 2007-05-25 |
| 1417168386 | Healthquest | Psychiatry & Neurology | 58 Timber Creek, Cordova, TN 38016 | 2007-05-24 |
| 1114079795 | Barbara T Henking | Psychologist | 8134 Country Village, #102, Cordova, TN 38016 | 2007-01-17 |
| Find all providers in zip 38016 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073166369 | Reyle Counseling, LLC | Counselor | 1148 Vickery Ln # 6, Cordova, TN 38016-1619 | 2019-07-16 |
| 1801456447 | Kiersten A Hawes | Counselor | 9706 Woodland Creek Ln, Cordova, TN 38018-3605 | 2019-06-17 |
| 1104329986 | Samantha I Richardson | Counselor | 52 Timber Creek Dr Ste 203, Cordova, TN 38018-4388 | 2018-03-17 |
| 1578926614 | Tekita Vonshia Forrest | Counselor | 6980 Parkbrook Ln, Cordova, TN 38018-7936 | 2016-04-04 |
| 1629474432 | Denise Brown | Counselor | 1148 Vickery Ln, Cordova, TN 38016-1619 | 2014-11-06 |
| 1811240088 | Tonja Brown | Counselor | 1165 Breezy Valley Dr, Cordova, TN 38018-6668 | 2012-10-24 |
| 1114182060 | Lauren E Noelker | Counselor | 1996 Northport Road, Apt 2, Cordova, TN 38016-3882 | 2008-07-21 |
| 1366624868 | Teri H. Mccann | Counselor | 890 N Houston Levee Rd, Cordova, TN 38018-6614 | 2007-11-27 |
| 1073639134 | Sandra L Garbuzinski | Counselor | 8130 Country Village Dr, Suite 102, Cordova, TN 38016-2087 | 2007-03-21 |
| 1619019007 | Demarcus C Davis | Counselor | 1088 Rogers Rd, Cordova, TN 38018-8546 | 2007-02-13 |
| Find all providers in CORDOVA | ||||
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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.