KELLY SHAW (NPI# 1700277852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700277852 |
| Entity Type | Individual |
| Full Name | KELLY SHAW |
| Practice Address |
5901 E 7th St Long Beach CA 90822-5201 |
| Mailing Address |
1415 S Pacific Ave Santa Ana CA 92704-3719 |
| Practice Telephone | 5628268000 |
| Enumeration Date | 2015-02-11 |
| Last Update Date | 2015-02-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 838797 | CA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336762822 | Kelly Shaw | Student in an Organized Health Care Education/Training Program | 9800 Warwickshire Ln, Charlotte, NC 28270-1601 | 2020-05-19 |
| 1114113214 | Kelly L Shaw | Registered Nurse | 8154 Painted Tree Trl, Fort Worth, TX 76131-4559 | 2007-09-21 |
| 1801928924 | Kelly P Shaw | Dentist | 75-5995 Kuakini Hwy Ste 113, Kailua Kona, HI 96740-2120 | 2007-03-12 |
| 1780231100 | Kelly Grace Shaw | Behavior Technician | 565 Benfield Rd Ste 300, Severna Park, MD 21146-2517 | 2019-08-21 |
| 1205226107 | Kelly Corey Shaw | Acupuncturist | 6018 Se Stark St, Portland, OR 97215-1990 | 2015-01-29 |
| 1790049807 | Kelly Shaw | Speech-Language Pathologist | 5219 88th Ave, Kenosha, WI 53144-7468 | 2012-07-03 |
| 1720213358 | Kelly Shaw | Social Worker | 1001 Georges Station Rd, Greensburg, PA 15601-6982 | 2009-05-27 |
| 1740431915 | Kelly Shaw | Physical Therapist | 200 2nd Ave, Kingston, PA 18704-5722 | 2008-10-07 |
| 1376723874 | Kelly Anne Shaw | Counselor | 200 Heritage Way, Kalispell, MT 59901-3146 | 2007-11-13 |
| 1235255829 | Kelly Shaw | Occupational Therapy Assistant | 19401 S Vermont Ave, Suite A-200, Torrance, CA 90502-1029 | 2007-03-22 |
| Street Address |
5901 E 7TH ST |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90822-5201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386648731 | Suzanne Wickum | Optometrist | 5901 E 7th St, Long Beach, CA 90822-5201 | 2005-06-13 |
| 1356949671 | Hyun-ji Chin | Pharmacist | 5901 E 7th St, Long Beach, CA 90822-5201 | 2020-10-09 |
| 1497362610 | Marlin Thai | Pharmacist | 5901 E 7th St, Long Beach, CA 90822-5201 | 2020-10-01 |
| 1972110179 | Christopher Jordan Odell | Physical Therapist | 5901 E 7th St, Long Beach, CA 90822-5201 | 2020-09-30 |
| 1013524974 | Kristin Anne Dionisio Ignacio | Pharmacist | 5901 E 7th St, Long Beach, CA 90822-5201 | 2020-09-24 |
| 1528674488 | Ashlynn Nicole Thomas | Dietitian, Registered | 5901 E 7th St, Long Beach, CA 90822-5201 | 2020-09-16 |
| 1144834573 | Hannah Elizabeth Cook | Social Worker | 5901 E 7th St, Long Beach, CA 90822-5201 | 2020-09-02 |
| 1417561051 | Chantal Herrera | Social Worker | 5901 E 7th St, Long Beach, CA 90822-5201 | 2020-09-01 |
| 1275147852 | Roxanna Vanessa Ayala Nieves | Social Worker | 5901 E 7th St, Long Beach, CA 90822-5201 | 2020-09-01 |
| 1740894419 | Wilmer Alejandro Rivas | Social Worker | 5901 E 7th St, Long Beach, CA 90822-5201 | 2020-09-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730654401 | Nicholas Brown | Psychologist | 5901 E. 7th Street (06/116b), Long Beach, CA 90822 | 2018-10-09 |
| 1194231027 | Liliana Jimenez | Social Worker | 5901 E. 7th St, Social Work Services, Long Beach, CA 90822 | 2017-12-14 |
| 1144621640 | James Edward Yadavaia IIi | Psychologist | 5901 E. 7th St. (06/116b), Long Beach, CA 90822 | 2014-09-16 |
| 1841600186 | Helen Ma | Internal Medicine | 5901 East 7th St, Long Beach, CA 90822 | 2014-05-07 |
| 1316374101 | Linda Jane Robles | Counselor | Va Healthcare Long Beach, 5901 E 7th Street, Long Beach, CA 90822 | 2013-10-11 |
| 1457783862 | Gretchen Louise Sholty | Psychologist | 5901 E. 7th St (06/116b), Long Beach, CA 90822 | 2013-08-08 |
| 1306278924 | Christopher Stephen Gentry | Nurse Practitioner | 2700 Bellflower Blvd, #112, Long Beach, CA 90822 | 2013-08-06 |
| 1639422009 | Vanessa Zizak | Clinical Neuropsychologist | Va Long Beach Healthcare System, 5901 East 7th St. Mailbox 116b, Long Beach, CA 90822 | 2012-10-22 |
| 1609166487 | Heather M. Shumway | Family Medicine | 5901 East Seventh St., Va Long Beach, Long Beach, CA 90822 | 2011-04-13 |
| 1376833277 | Michael R Lowder | Dentist | 5901 East Seventh St, Va Long Beach, Long Beach, CA 90822 | 2011-04-12 |
| Find all providers in zip 90822 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and 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 |
|---|---|---|---|---|
| 1144834334 | Steven Sollie | Registered Nurse | 418 E Hullett St, Long Beach, CA 90805-3426 | 2020-09-04 |
| 1235742446 | Michelle Brock | Registered Nurse | 4508 Atlantic Ave Ste A-443, Long Beach, CA 90807-1520 | 2020-08-26 |
| 1790395721 | Antonio Orellana | Registered Nurse | 106 La Verne Ave, Long Beach, CA 90803-3335 | 2020-08-04 |
| 1154949477 | Veronica Elizabeth Almeida | Registered Nurse | 245 W Broadway Apt 625, Long Beach, CA 90802-5049 | 2020-07-13 |
| 1518593128 | Elizabeth Yvonne Shouse | Registered Nurse | 3801 E Pacific Coast Hwy Apt 231, Long Beach, CA 90804-2041 | 2020-03-14 |
| 1750912432 | Kristopher Gavino | Registered Nurse | 3530 Magnolia Ave, Long Beach, CA 90806-1173 | 2020-01-30 |
| 1043854326 | Kathleen Ann Sweeney | Registered Nurse | 17 Indiana Ave, Long Beach, NY 11561-1205 | 2019-10-30 |
| 1174177232 | Christine Phuma | Registered Nurse | 4937 Daisy Ave, Long Beach, CA 90805-6711 | 2019-07-27 |
| 1407326119 | Anthony J Gann | Registered Nurse | 173 Santa Ana Ave, Long Beach, CA 90803-3461 | 2018-11-26 |
| 1477038354 | Ryan Bacani | Registered Nurse | 4506 N Banner Drive Apt 3, Long Beach, CA 90807 | 2018-09-26 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90822 |
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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.