KRISTIN MEGHAN SHAW (NPI# 1679041701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679041701 |
| Entity Type | Individual |
| Full Name | KRISTIN MEGHAN SHAW |
| Practice Address |
70 Walnut St Ste 101 Wellesley MA 02481 |
| Mailing Address |
70 Walnut St Ste 101 Wellesley MA 02481-2137 |
| Practice Telephone | 6173406446 |
| Mailing Telephone | 6173406446 |
| Enumeration Date | 2018-11-07 |
| Last Update Date | 2019-07-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 1421 | NH | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA6603 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 565 Amherst St, Nashua, NH 030631048 | 6039314606 | |
| 70 Walnut St Ste 101, Wellesley, MA 024812137 | 6173406446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467719211 | Kristin M. Shaw | Counselor | 414 E Walnut St Ste 210, Green Bay, WI 54301-5020 | 2012-04-18 |
| 1487208476 | Kristin Shaw | Student in an Organized Health Care Education/Training Program | 2213 Cherry St, Toledo, OH 43608-2603 | 2019-07-28 |
| 1003470071 | Kristin Shaw | Behavior Technician | 901 Sneath Ln Ste 105, San Bruno, CA 94066-2415 | 2019-04-25 |
| 1720473879 | Kristin Shaw | Student in an Organized Health Care Education/Training Program | 330 Brookline Ave, Department of Pathology, Boston, MA 02215-5400 | 2015-04-04 |
| 1497067524 | Kristin Maria Shaw | Physical Therapist | 1000 Division St, Suite 100, East Greenwich, RI 02818-2008 | 2010-07-06 |
| 1447401013 | Kristin Shaw | Massage Therapist | 64-1040 Mamalahoa Hwy Ste 201, Kamuela, HI 96743-8450 | 2008-10-01 |
| Street Address |
70 WALNUT ST STE 101 |
| City | WELLESLEY |
| State | MA |
| Zip Code | 02481 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699329797 | Jeffrey A. Harrison, Dmd, PC | Dentist | 258 Washington Street, Wellesley, MA 02481 | 2019-07-26 |
| 1922651215 | Steffanie Accorsi | Behavior Technician | 110 Cedar St, Suite 10, Wellesley, MA 02481 | 2019-07-17 |
| 1023673977 | Alka Swarup | Occupational Therapist | 10 Hunnewell Street, Wellesley Hls, MA 02481 | 2019-05-07 |
| 1740779511 | Marianne Brandon | Psychologist | Marianne Brandon Phd, 25 Walnut St #202, Wellesley Hills, MA 02481 | 2018-05-07 |
| 1558722686 | Robin Cook-nobles | Psychologist | 106 Central Street, The Stone Center Wellesley College, Wellesley, MA 02481 | 2016-03-17 |
| 1851760169 | Samantha Eve Jordan | Student in an Organized Health Care Education/Training Program | 30 Washington Street Suite 300, Wellesley, MA 02481 | 2015-09-16 |
| 1942677224 | Sandra Schwartz | Physical Therapist | Summit Orthopedic Therapy, 40 Washington Street, Wellesly, MA 02481 | 2015-08-21 |
| 1053710467 | Train Boston Physical Therapy, Inc. | Exclusive Provider Organization | 34 Washington Street, Wellesley, MA 02481 | 2014-08-21 |
| 1124458344 | Allison Arrigg | Counselor | 11 Chapel Place, Human Relations Service, Wellesley Hills, MA 02481 | 2013-11-25 |
| 1932531472 | Abigail Gorman Daunis | Physical Therapist | 34 Washington St., Wellesley, MA 02481 | 2013-08-07 |
| Find all providers in zip 02481 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740792530 | Jaleh Rasoli | Physician Assistant | 20 Hickory Rd, Wellesley, MA 02482-4534 | 2017-11-01 |
| 1679778963 | Sneha Robert Campanella | Physician Assistant | 65 Walnut St, Sutie 520, Wellesley, MA 02481-2118 | 2007-06-18 |
| 1356433585 | Marya Woodruff | Physician Assistant | 65 Walnut Street, Suite 520, Wellesley, MA 02481 | 2006-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740897024 | Eoin Moriarty | Physician Assistant | 99 Merryknoll Rd, Weymouth, MA 02191-2020 | 2020-09-30 |
| 1942812334 | Manacey Clermont | Physician Assistant | 21 Robinson Rd, Woburn, MA 01801-6136 | 2020-08-18 |
| 1801411756 | Kimberly Marques | Physician Assistant | 3 Medeiros Farm Rd, Seekonk, MA 02771-2029 | 2020-06-16 |
| 1821613548 | Emily Reynolds | Physician Assistant | 7 Blood Rd, Charlton, MA 01507-5128 | 2020-06-09 |
| 1275155590 | Makenna Camara | Physician Assistant | 249 Hixville Rd, North Dartmouth, MA 02747-1937 | 2020-05-08 |
| 1720608912 | John Eastman | Physician Assistant | 243b Savin Hill Ave, Boston, MA 02125-1003 | 2020-04-17 |
| 1871122168 | Alexandra Emmanuelle Rochman | Physician Assistant | 54 W Crystal Brook Dr, Springfield, MA 01118-1946 | 2020-04-07 |
| 1366074122 | Heather Kirby | Physician Assistant | 264 Fowler Rd, Westfield, MA 01085-4013 | 2020-02-10 |
| 1639712011 | Joseph John Milos | Physician Assistant | 201 Carlson Ln, West Barnstable, MA 02668-1224 | 2019-10-18 |
| 1912558321 | Rafael Rondeau | Physician Assistant | 12 Indian Pond Rd, Kingston, MA 02364-2051 | 2019-09-26 |
| Find all providers with the same taxonomy | ||||
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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.