MRS. KEISHA TAMARA SHAW (NPI# 1477815231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477815231 |
| Entity Type | Individual |
| Full Name | MRS. KEISHA TAMARA SHAW |
| Practice Address |
220 Park Ave Barboursville WV 25504-1544 |
| Practice Telephone | 3043606482 |
| Mailing Telephone | 3043606482 |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2012-06-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 32060 | WV | Nursing Service Providers |
| Street Address |
220 PARK AVE |
| City | BARBOURSVILLE |
| State | WV |
| Zip Code | 25504-1544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376143115 | Jeff Thomas Slone | Technician | 3350 Holland Creek Road, Barboursville, WV 25504 | 2020-10-30 |
| 1134679061 | Ryan Young | Pharmacist | 6350 Us Route 60 East, Barboursville, WV 25504 | 2016-10-04 |
| 1447706361 | Jennifer M Bruce | Nurse Anesthetist, Certified Registered | 5840 Davis Creek Rd. Suite E, Barboursville, WV 25504 | 2016-08-31 |
| 1528447794 | Susan Berry | Licensed Practical Nurse | 1 Ohanlon Place, Barboursville, WV 25504 | 2015-05-21 |
| 1902209067 | Eric W Kutcher | Nurse Anesthetist, Certified Registered | 5840 Davis Creek Road Suite E, Barboursville, WV 25504 | 2014-10-03 |
| 1275940843 | Alex G Smith | Nurse Anesthetist, Certified Registered | 5840 Davis Creek Road, Suite E, Barboursville, WV 25504 | 2014-07-16 |
| 1225451297 | Carol Newlon | Counselor | 689 Central Avenue, Barboursville, WV 25504 | 2014-01-28 |
| 1598003386 | Amy E Crabtree | Pharmacist | 6414 Us 60 East, Barboursville, WV 25504 | 2013-01-29 |
| 1538428669 | Amy Beth Cope | Physician Assistant | 6171 Childers Road, Barboursville, WV 25504 | 2012-05-09 |
| 1508167867 | Tara J. Robinson | Dermatology | 6007 U.S.rt 60 E., Suite 130, Barboursville, WV 25504 | 2010-11-03 |
| Find all providers in zip 25504 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528447794 | Susan Berry | Licensed Practical Nurse | 1 Ohanlon Place, Barboursville, WV 25504 | 2015-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639777832 | Melissa Kay Griffey | Licensed Practical Nurse | 249 Clark St Ste C, New Martinsville, WV 26155-1201 | 2020-10-12 |
| 1013526110 | Blaise Sama | Licensed Practical Nurse | 1 Morris St, Charleston, WV 25301-2920 | 2020-07-24 |
| 1477183614 | Alison Jaide Deweese | Licensed Practical Nurse | 711 Highland Ave, Mullens, WV 25882-1221 | 2020-01-15 |
| 1134762669 | Teresa Elkins | Licensed Practical Nurse | 208 Vine Cir, Martinsburg, WV 25405-6295 | 2019-10-28 |
| 1386128395 | Cynthia Lou Glasgow | Licensed Practical Nurse | 3808 Staunton Ave Se, Charleston, WV 25304-1538 | 2018-09-17 |
| 1548758212 | Evan Yeauger | Licensed Practical Nurse | 49 Ridge Rd, Point Pleasant, WV 25550-3985 | 2018-04-27 |
| 1487158846 | April Diane Steele | Licensed Practical Nurse | 300 N Johnston St, Princeton, WV 24740-2650 | 2018-03-21 |
| 1942736640 | Sheila Robertson | Licensed Practical Nurse | 64 Private Ct., Bunker Hill, WV 25413 | 2017-05-02 |
| 1679940522 | Heather Ramey | Licensed Practical Nurse | 5499 Left Fork Lynn Creek Rd, Lavalette, WV 25535-9720 | 2015-08-26 |
| 1790164705 | Tara Hedge | Licensed Practical Nurse | 698 Circle Dr, Mullens, WV 25882-1347 | 2015-05-22 |
| Find all providers with the same taxonomy | ||||
| City | BARBOURSVILLE |
| Zip Code | 25504 |
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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.