LINDA G SHAW (NPI# 1669561049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669561049 |
| Entity Type | Individual |
| Full Name | LINDA G SHAW |
| Credential | FNP |
| Practice Address |
805 N 6th E Mountain Home ID 83647-2207 |
| Practice Telephone | 2085875880 |
| Practice Fax Number | 2085877905 |
| Mailing Telephone | 2085875880 |
| Mailing Fax Number | 2085877905 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
NP382A | ID | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | REGENCE BLUE SHIELD | 000010017467 | 01 |
| ID | BLUE CROSS | NPGP8 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215426473 | Linda Darnell Shaw | Licensed Vocational Nurse | 139 Pineland Dr, Trinity, TX 75862 | 2018-05-03 |
| 1669911004 | Linda Kay Shaw | Rehabilitation Practitioner | 115 John St, Parma, MI 49269-9538 | 2017-02-17 |
| 1134307358 | Linda Kay Shaw | Counselor | 904 E. 25th, Kearney, NE 68847 | 2008-02-11 |
| 1710001151 | Linda Shaw | Psychologist | 127 Mount Auburn Street, Cambridge, MA 02138 | 2007-03-19 |
| 1114024882 | Linda Louise Shaw | Social Worker | 6666 Nw 39th Expressway, Bethany, OK 73008 | 2006-09-17 |
| 1629048731 | Linda Lee Shaw | Pediatrics | 252 Green Valley Rd, Freedom, CA 95019-3138 | 2006-01-23 |
| 1336507805 | Linda Shaw | Pharmacist | 4020 Bel Aire Plz, Napa, CA 94558-2835 | 2016-01-29 |
| 1215121389 | Linda Fay Shaw | Registered Nurse | 1015 E Trinity Ln, Nashville, TN 37216-3029 | 2007-08-31 |
| 1033123138 | Linda Shaw | Pediatrics | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2006-07-27 |
| 1922052273 | Linda Shaw | Nurse Anesthetist, Certified Registered | 1 Perkins Sq, Akron, OH 44308-1063 | 2006-05-20 |
| Street Address |
805 N 6TH E |
| City | MOUNTAIN HOME |
| State | ID |
| Zip Code | 83647-2207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831206135 | Richard Frederick Starkey | Family Medicine | 805 N 6th E, Mountain Home, ID 83647-2207 | 2006-08-23 |
| 1356475115 | Michael P Koelsch Md | Nurse Practitioner | 805 N 6th E, Mountain Home, ID 83647-2207 | 2007-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528684370 | The Unruly Tongue Myofunctional Therapy LLC | Specialist | 1125 Nw Bluegrass Cir, Mountain Home, ID 83647 | 2020-06-17 |
| 1740767284 | Kelly Loy | Counselor | 210 North 3rd East, Mountain Home, ID 83647 | 2018-07-27 |
| 1891247912 | Daelene Sueann Tibbitts | Physical Therapy Assistant | 1665 E 5th N, Mountain Home, ID 83647 | 2016-10-25 |
| 1689065765 | Emma Orthel | Counselor | 2240 American Legion Blvd, Mountain Home, ID 83647 | 2015-02-11 |
| 1073692166 | Krzysztof Hendryk Ziola | Internal Medicine | 2280 American Legion Blvd., Mountain Home, ID 83647 | 2006-11-02 |
| 1952482440 | Michael Peter Koelsch | Internal Medicine | 805 North 6th East, Mountain Home, ID 83647 | 2006-10-18 |
| 1124113709 | Talmage W Delange | Counselor | 235 North 3rd East, Mountain Home, ID 83647 | 2006-10-03 |
| 1225044019 | Scott W Sessions | Physical Therapist | 245 N. 3rd, Mountain Home, ID 83647 | 2006-07-31 |
| 1750370730 | Kyle J Kenison | Optometrist | 855 West 6th South, Mountain Home, ID 83647 | 2005-10-21 |
| 1285628156 | Bruce Joseph Siedlecki | Obstetrics & Gynecology | Mtn.home Aif Force Base, Mdos, Mtn. Home, ID 83647 | 2005-09-07 |
| Find all providers in zip 83647 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891346862 | Tosha Marie Applegate | Nurse Practitioner | 8606 Highway 201 N, Mountain Home, AR 72653-8291 | 2019-09-21 |
| 1831665744 | Cindy A Brown | Nurse Practitioner | 628 Hospital Dr Ste A, Mountain Home, AR 72653-2953 | 2018-10-17 |
| 1346769155 | Heather Bollinger | Nurse Practitioner | 65 Walmart Drive, C/o Clinic At Walmart, Mountain Home, AR 72653 | 2017-09-12 |
| 1740720598 | Cindy Conway | Nurse Practitioner | 809 Lamont Steet, Mountain Home, TN 37684 | 2017-02-27 |
| 1336695360 | Meredith Chapa | Nurse Practitioner | 405 Buttercup, Mountain Home, AR 72653-4838 | 2016-08-30 |
| 1477980191 | Hayley N Greer Adams | Nurse Practitioner | Moutain Home Va Healthcare System, Lamont & Veterans Way, Mountain Home, TN 37684-3768 | 2013-09-27 |
| 1760718514 | Preferred Medical Associates LLC | Nurse Practitioner | 40 Plaza Way, Suite 30, Mountain Home, AR 72653-9265 | 2009-10-29 |
| 1902038961 | Brandi Dawn Anderson | Nurse Practitioner | 628 Hospital Drive, Sutie 3a, Mountain Home, AR 72653 | 2009-08-10 |
| 1275665473 | Richard Fredrick Starkey Md | Nurse Practitioner | 806 North 6th East, Mountain Home, ID 83647-0427 | 2007-03-12 |
| 1699881698 | David Glenn Fulghum | Nurse Practitioner | 305 Highway 62 E, Mountain Home, AR 72653-3655 | 2006-08-22 |
| Find all providers in MOUNTAIN HOME | ||||
| City | MOUNTAIN HOME |
| Zip Code | 83647 |
Please comment or provide details below to improve the information on LINDA G 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.