KIMBERLY C. SHAW (NPI# 1467854042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467854042 |
| Entity Type | Individual |
| Full Name | KIMBERLY C. SHAW |
| Credential | FNP-BC |
| Practice Address |
6500 Hospital Dr Family Medicine Hannibal MO 63401-6890 |
| Mailing Address |
Po Box 1257 6500 Hospital Drive Hannibal MO 63401-1257 |
| Practice Telephone | 5736293400 |
| Practice Fax Number | 5736293414 |
| Mailing Telephone | 5734065888 |
| Mailing Fax Number | 5734065889 |
| Enumeration Date | 2014-09-25 |
| Last Update Date | 2014-12-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 041359642 | IL | Nursing Service Providers |
| N | 163W00000X | Registered Nurse | 146869 | MO | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2014037315 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083274328 | Kimberly Scott Shaw | Marriage & Family Therapist | 1866 Clayton Rd Ste 200, Concord, CA 94520-2505 | 2019-06-18 |
| 1962967828 | Kimberly Shaw | Specialist/Technologist | 3202 Veterans Stadium Dr, Troy, AL 36082-0001 | 2019-02-05 |
| 1992157879 | Kimberly Shaw | Social Worker | 18 Constitution Dr Ste 5, Bedford, NH 03110-6076 | 2016-07-05 |
| 1821361551 | Kimberly Shaw | Social Worker | 623 E 100 S, Salt Lake City, UT 84102-1103 | 2012-02-10 |
| 1447850086 | Kimberly Shaw | Pharmacist | 2750 W University Dr, Denton, TX 76201-1628 | 2020-10-30 |
| 1578963302 | Kimberly Neibaur Shaw | Counselor | 12040 98th Ave Ne, Suite 204, Kirkland, WA 98034-4290 | 2014-08-29 |
| 1205116431 | Kimberly Ann Shaw | Developmental Therapist | 100 Erdman Way, Leominster, MA 01453-1804 | 2011-08-19 |
| 1124307061 | Kimberly Marie Shaw | Pharmacist | 7909 S Hardy Dr, Tempe, AZ 85284-1112 | 2011-08-09 |
| 1942454186 | Kimberly Danielle Shaw | Physician Assistant | 3201 S Wallace St, Chicago, IL 60616-3501 | 2008-11-14 |
| 1689738064 | Kimberly Shaw | Social Worker | 17900 Linden Blvd, St. Albans, NY 11435 | 2006-12-20 |
| Street Address |
6500 HOSPITAL DR FAMILY MEDICINE |
| City | HANNIBAL |
| State | MO |
| Zip Code | 63401-6890 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306849971 | Edward A Cline | Podiatrist | 6500 Hospital Dr, Hannibal, MO 63401-6890 | 2005-05-27 |
| 1518593375 | Kendell Breanne Farr | Registered Nurse | 6500 Hospital Dr, Hannibal, MO 63401-6890 | 2020-03-12 |
| 1003471863 | Megan Elizabeth Kretz | Registered Nurse | 6500 Hospital Dr, Hannibal, MO 63401-6890 | 2019-05-07 |
| 1013441013 | Jennifer Nicole Bowler | Registered Nurse | 6500 Hospital Dr, Suite 2b, Hannibal, MO 63401-6890 | 2017-04-17 |
| 1033669353 | Hannibal Regional Healthcare System, Inc | Clinic/Center | 6500 Hospital Dr, Hannibal, MO 63401-6890 | 2016-10-11 |
| 1033572938 | Melissa L Reynolds | Nurse Practitioner | 6500 Hospital Dr, Hannibal, MO 63401-6890 | 2016-03-30 |
| 1124492491 | Torishia Greving | Registered Nurse | 6500 Hospital Dr, Hannibal, MO 63401-6890 | 2015-11-23 |
| 1609244193 | Heather A Curtis | Otolaryngology | 6500 Hospital Dr, Hannibal, MO 63401-6890 | 2015-09-14 |
| 1851772289 | James Edwin Tucker | Family Medicine | 6500 Hospital Dr, Hannibal, MO 63401 | 2015-06-11 |
| 1740669142 | Jennifer Elizabeth Roberts Merriman | Obstetrics & Gynecology | 6500 Hospital Dr, Hannibal, MO 63401-6890 | 2015-05-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255981064 | Amanda Lynn Jennings | Nurse Practitioner | Hannibal Clinic, 100 Medical Drive, Hannibal, MO 63401 | 2019-09-13 |
| 1316452295 | Hannibal Regional Healthcare System, Inc | Hospice Care, Community Based | 6401 Hwy Mm, Hannibal, MO 63401 | 2017-12-13 |
| 1932614351 | Sidney M Johnson | Counselor | 1221 Broadway St, Hannibal, MO 63401 | 2017-12-07 |
| 1316467210 | Jessica Baker | Counselor | 4355 Paris Gravel Road, Hannibal, MO 63401 | 2017-06-21 |
| 1346787066 | Hands Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 17 Settlerstrail, Hannibal, MO 63401 | 2017-01-20 |
| 1134571672 | Pamela Barrigar | Social Worker | 4600 Mcmasters Ave, Hannibal, MO 63401 | 2016-07-08 |
| 1639540677 | Jessica Murfin | Speech-Language Pathologist | 544 N Veterans Rd, Hannibal, MO 63401 | 2015-10-16 |
| 1366835639 | Cpo Services, Inc. | Prosthetic/Orthotic Supplier | 8965 Highway 36 Ste 3, Hannibal, MO 63401 | 2015-03-11 |
| 1639324254 | Hannibal Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 118 Steam Boat Bend, Hannibal, MO 63401 | 2008-11-24 |
| 1780856112 | Barbara Belle Smith | Social Worker | 3700 Hwy Mm, Hannibal, MO 63401 | 2008-03-26 |
| Find all providers in zip 63401 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275160293 | Todd Michael Arnold | Nurse Practitioner | 131 Rosewood Dr, Hannibal, MO 63401-6237 | 2020-03-27 |
| 1255981064 | Amanda Lynn Jennings | Nurse Practitioner | Hannibal Clinic, 100 Medical Drive, Hannibal, MO 63401 | 2019-09-13 |
| 1851769418 | Donna Marie Whitley | Nurse Practitioner | 6500 Hospital Dr Ste 2b, Hannibal, MO 63401-6890 | 2015-09-11 |
| 1275519597 | Beverly J Stumpf | Nurse Practitioner | 24 Northport Plz, Hannibal, MO 63401-2269 | 2005-12-19 |
| 1164023644 | Kelli Eagan | Nurse Practitioner | 100 Medical Dr, Hannibal, MO 63401-6877 | 2020-11-02 |
| 1952919656 | Brandon Jeffries | Nurse Practitioner | 328 Munger Ln, Hannibal, MO 63401-2361 | 2020-07-19 |
| 1720621154 | Ashley Laine Hodges | Nurse Practitioner | 6000 Hospital Dr, Hannibal, MO 63401-6887 | 2019-10-17 |
| 1174002232 | Stacy L Johnson | Nurse Practitioner | 100 Medical Dr, Hannibal, MO 63401-6877 | 2018-08-09 |
| 1770096513 | Jennifer Sue Myers | Nurse Practitioner | 100 Medical Dr, Hannibal, MO 63401-6877 | 2017-11-15 |
| 1629581947 | Mitzi Buckman | Nurse Practitioner | 100 Medical Dr, Hannibal, MO 63401-6877 | 2017-11-08 |
| Find all providers in HANNIBAL | ||||
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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.