DR. JACQUELINE SHAW (NPI# 1689959694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689959694 |
| Entity Type | Individual |
| Full Name | DR. JACQUELINE SHAW |
| Credential | LPC |
| Practice Address |
633 Weathervane Way Rocky Mount NC 27803-8736 |
| Practice Telephone | 2524510148 |
| Mailing Telephone | 2524510148 |
| Enumeration Date | 2011-10-21 |
| Last Update Date | 2011-10-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
8086 | NC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720533060 | Jacqueline Anjanette Shaw | Behavioral Analyst | 4609 Grove Hill Ct, Virginia Beach, VA 23456-5489 | 2016-08-16 |
| 1982144911 | Jacqueline Anne Shaw | Physician Assistant | 686 County Road 39a, Southampton, NY 11968-5703 | 2017-02-23 |
| 1356506885 | Jacqueline Lois Shaw | Registered Nurse | 661 Franklin Street, Springville, NY 14141 | 2008-07-24 |
| 1598758021 | Jacqueline D Shaw | Pediatrics | 3300 Wilcox Blvd, Chattanooga, TN 37411-1073 | 2005-08-30 |
| Street Address |
633 WEATHERVANE WAY |
| City | ROCKY MOUNT |
| State | NC |
| Zip Code | 27803-8736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043615131 | Exigin Behavioral Health LLC | Counselor | 1105 Spring Forest Dr, Rocky Mount, NC 27803 | 2014-10-31 |
| 1649577180 | Jeffery Beal | Physical Therapist | 3936 Crosswinds Drive, Rocky Mount, NC 27803 | 2011-02-18 |
| 1083713283 | Edc Drug Stores Inc | Durable Medical Equipment & Medical Supplies | 824 West Raleigh Boulevard, Rocky Mount, NC 27803 | 2006-09-22 |
| 1013935113 | Spring Arbor of Rocky Mount | Assisted Living Facility | 1251 S. Winstead Ave., Rocky Mount, NC 27803 | 2006-07-17 |
| 1053386078 | William A Munn | Physician Assistant | 10589 East Nc 97, Rocky Mount, NC 27803 | 2006-02-22 |
| 1366749806 | Jeffrey Miller | Physical Therapist | 3936 Crosswinds Drive, Rocky Mount, NC 27803 | 2011-02-18 |
| 1821395369 | Rehab Revolution Inc. | Clinic/Center | 3936 Crosswinds Drive, Rocky Mount, NC 27803 | 2011-02-18 |
| 1053517029 | Family Care Partners of North Carolina, Pllc | Physician Assistant | 10589 East Nc 97, Rocky Mount, NC 27803 | 2007-06-26 |
| 1093897340 | Warren County Rescue | Ambulance | 123 S Grace St, Rocky Mount, NC 27803 | 2006-10-19 |
| 1659453900 | Broad Creek Ems | Ambulance | 123 S Grace St, Rocky Mount, NC 27803 | 2006-10-19 |
| Find all providers in zip 27803 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407490287 | Devann Shea Brown | Counselor | 180 Amt Tech Dr Ste A4, Rocky Mount, VA 24151-6735 | 2019-11-04 |
| 1730731092 | Michael Crenshaw Sr. | Counselor | 4668 Laurel Trail Rd, Rocky Mount, NC 27804-7934 | 2019-07-16 |
| 1871069047 | Reconnect Family Services Pllc | Counselor | 301 S Church St Ste 142, Rocky Mount, NC 27804-5748 | 2018-10-15 |
| 1376931899 | Nekita Beach | Counselor | 7204 Silverleaf Rd, Rocky Mount, NC 27804-9178 | 2015-01-06 |
| 1194120022 | Cheri Pullen | Counselor | 220 Sebastian Way, Rocky Mount, NC 27804-9099 | 2014-11-04 |
| 1043615131 | Exigin Behavioral Health LLC | Counselor | 1105 Spring Forest Dr, Rocky Mount, NC 27803 | 2014-10-31 |
| 1750533204 | Linda Faye Best | Counselor | 1629 Crabapple Ln, Rocky Mount, NC 27804-9308 | 2008-10-15 |
| 1679614937 | Kerri Lee Mcclain | Counselor | 848 Country Club Rd, Rocky Mount, NC 27804-1706 | 2007-02-09 |
| 1508918038 | James W. Briscoe | Counselor | 237 S Winstead Ave Apt X1, Rocky Mount, NC 27804-3446 | 2007-01-17 |
| 1518943406 | Sandi Gale Hodges | Counselor | 2600 Old Franklin Tpke, Rocky Mount, VA 24151-5676 | 2005-12-21 |
| Find all providers in ROCKY MOUNT | ||||
| City | ROCKY MOUNT |
| Zip Code | 27803 |
Please comment or provide details below to improve the information on DR. JACQUELINE 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.