MS. LESLIE C SHAW (NPI# 1467898288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467898288 |
| Entity Type | Individual |
| Full Name | MS. LESLIE C SHAW |
| Credential | ACNP-BC |
| Practice Address |
3803 Spring St Mount Pleasant WI 53405-1660 |
| Practice Telephone | 2626878260 |
| Mailing Telephone | 2626878260 |
| Enumeration Date | 2013-05-20 |
| Last Update Date | 2014-10-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
164040-030 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093347916 | Leslie M Shaw | Massage Therapist | 75 Cavalier Blvd Ste 222, Florence, KY 41042-3959 | 2020-02-08 |
| 1689973695 | Leslie Dean Shaw | Chiropractor | 444 Hana Hwy Ste 213, Kahului, HI 96732-2315 | 2011-03-17 |
| 1699958074 | Leslie A Shaw | Physical Therapy Assistant | 14910 Main St, Alachua, FL 32615-8591 | 2007-12-09 |
| 1386742989 | Leslie Koziar Shaw | Nurse Practitioner | 3305 101st St, Suite 100, Lubbock, TX 79423-4076 | 2006-09-20 |
| 1558762286 | Leslie Shaw | Speech-Language Pathologist | 160 S Hollywood St, Memphis, TN 38112-4801 | 2014-09-12 |
| 1720360746 | Leslie S Shaw | Nurse Practitioner | 360 Route 73 S, Marlton, NJ 08053-2004 | 2011-09-15 |
| 1275783912 | Leslie A Shaw | Dietitian, Registered | 850 Columbia Rd, Suite 200, Westlake, OH 44145-1493 | 2008-09-30 |
| 1750426961 | Leslie A Shaw | Counselor | 411 W Chapel Hill St, Ste. 908, Durham, NC 27701-3616 | 2007-02-21 |
| Street Address |
3803 SPRING ST |
| City | MOUNT PLEASANT |
| State | WI |
| Zip Code | 53405-1660 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508318569 | Melissa Milne | Nurse Practitioner | 3803 Spring St, Mount Pleasant, WI 53405-1660 | 2016-10-25 |
| 1902359250 | Erin Ellsworth | Nurse Practitioner | 3803 Spring St, Suite 600, Mount Pleasant, WI 53405-1660 | 2016-08-03 |
| 1417136409 | Liping Xie | Internal Medicine | 3803 Spring St, Suite 600, Mount Pleasant, WI 53405-1660 | 2007-10-26 |
| 1033303532 | Ravi K. Mareedu | Internal Medicine | 3803 Spring St, Mount Pleasant, WI 53405-1660 | 2007-08-29 |
| 1770643363 | Shariff Attaya | Internal Medicine | 3803 Spring St, Suite 400, Mount Pleasant, WI 53405-1660 | 2006-12-12 |
| 1245253764 | Billie A Lawler | Nurse Practitioner | 3803 Spring St, Mount Pleasant, WI 53405-1660 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609407923 | Anita Kathy Nykaza | Dietitian, Registered | 3805 A Suite 311, Racine, WI 53405 | 2020-01-27 |
| 1023666062 | Shawn L Drulia | Physician Assistant | 3805 Spring St #320, Racine, WI 53405 | 2019-09-03 |
| 1235627720 | Oxygen One, Inc. | Durable Medical Equipment & Medical Supplies | 3805a Spring Street, Suite 210, Racine, WI 53405 | 2018-04-30 |
| 1356838650 | Melissa Metzger | Psychologist | 2340 Mohr Ave, Racine, WI 53405 | 2018-04-23 |
| 1689029217 | Melissa Ileen Swainston | Nurse Practitioner | 3803 Spring St., Suite Number 410, Racine, WI 53405 | 2016-05-02 |
| 1215305487 | Denetta Lauraelaine Flowers | Licensed Practical Nurse | 4311 Durand Ave., #104, Mt.pleasant, WI 53405 | 2015-09-04 |
| 1841675204 | Colleen Koderca | Registered Nurse | 3317-meachem Rd, Racine, WI 53405 | 2015-07-28 |
| 1790102986 | Georges Wakim | Specialist/Technologist | 3811 Spring St., Suite 102, Racine, WI 53405 | 2014-03-25 |
| 1982021176 | Matthew F Patzke | Specialist/Technologist | 3811 Spring Street Suite 102, Racine, WI 53405 | 2014-03-25 |
| 1073930269 | Jessica Geisler | Specialist/Technologist | 3811 Spring Street Suite #102, Racine, WI 53405 | 2014-03-25 |
| Find all providers in zip 53405 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679077036 | Amanda Lynn Crowley | Nurse Practitioner | 2000 Hospital Dr, Mount Pleasant, SC 29464-3764 | 2018-03-21 |
| 1659879443 | Laura Jean Arendt | Nurse Practitioner | 2001 N Jefferson Ave, Mount Pleasant, TX 75455-2338 | 2018-01-26 |
| 1902359250 | Erin Ellsworth | Nurse Practitioner | 3803 Spring St, Suite 600, Mount Pleasant, WI 53405-1660 | 2016-08-03 |
| 1124493986 | Anne Stoltenberg | Nurse Practitioner | 3821 Spring St, Mount Pleasant, WI 53405-1667 | 2015-12-04 |
| 1245253764 | Billie A Lawler | Nurse Practitioner | 3803 Spring St, Mount Pleasant, WI 53405-1660 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538772702 | Ashley Zimmerman | Nurse Practitioner | W316s2978 Short Rd, Waukesha, WI 53188-9120 | 2020-08-27 |
| 1073141495 | Judith Hummel | Nurse Practitioner | 18125 Prairie Falcon Ln, Brookfield, WI 53045-6316 | 2020-03-31 |
| 1982258828 | Amanda Nesta | Nurse Practitioner | 1812 E Howard Ave, Milwaukee, WI 53207-4000 | 2019-07-29 |
| 1720591035 | Kelyn Marie Levy | Nurse Practitioner | 9200 W Wisconsin Ave Ste 5200, Milwaukee, WI 53226-3522 | 2017-11-08 |
| 1376087775 | Connie Endvick | Nurse Practitioner | 425 Pine Ridge Blvd Ste 200, Wausau, WI 54401-4123 | 2016-12-05 |
| 1538545728 | Katherine Lee Alvarez | Nurse Practitioner | 3200 Pleasat Valley Road, West Bend, WI 53095-9274 | 2015-08-11 |
| 1821475120 | Amin Namazi | Nurse Practitioner | 725 American Ave., Prohealth Care Waukesha Memorial Hospital, Waukesha, WI 53188-5099 | 2015-05-06 |
| 1356775183 | Urvil M Patel | Nurse Practitioner | 4025 N 92 St., Wauwatosa, WI 53222 | 2013-08-28 |
| 1295008399 | Amanda Fischer | Nurse Practitioner | 2435 Sumac Dr, Racine, WI 53402-1487 | 2012-02-21 |
| 1801124904 | Jennifer Ottelien | Nurse Practitioner | 2901 W Kinnickinnic River Pkwy Ste 300, Milwaukee, WI 53215-3660 | 2009-12-01 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT PLEASANT |
| Zip Code | 53405 |
Please comment or provide details below to improve the information on MS. LESLIE C SHAW.
| 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.