SANDRA KAYE SHAW (NPI# 1710275680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710275680 |
Entity Type | Individual |
Full Name | SANDRA KAYE SHAW |
Credential | CNP |
Practice Address |
733 Market Ave S Canton OH 44702-2165 |
Practice Telephone | 3306878589 |
Mailing Telephone | 3306878589 |
Enumeration Date | 2011-07-13 |
Last Update Date | 2015-12-31 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
COA12432NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093750192 | Sandra C Shaw | Social Worker | 7777 Greenback Ln, Citrus Heights, CA 95610-5800 | 2006-06-20 |
Street Address |
733 MARKET AVE S |
City | CANTON |
State | OH |
Zip Code | 44702-2165 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124084777 | Jacqueline Ann Suppan | Clinical Nurse Specialist | 733 Market Ave S, Canton, OH 44702-2165 | 2006-04-24 |
1700411287 | Lindsea Noel Moore | Dietitian, Registered | 733 Market Ave S, Canton, OH 44702-2165 | 2020-03-05 |
1396280376 | Jeffrey William Powers | Nurse Practitioner | 733 Market Ave S, Canton, OH 44702 | 2016-12-29 |
1255880282 | Kristen Leigh Snyder | Social Worker | 733 Market Ave S, Canton, OH 44702-2165 | 2016-10-03 |
1023464682 | John Peterson | Counselor | 733 Market Ave S, Canton, OH 44702-2165 | 2016-05-12 |
1104206945 | Andrea Crayden | Social Worker | 733 Market Ave S, Canton, OH 44702-2165 | 2015-06-07 |
1063825537 | Christina Carpenter | Nurse Practitioner | 733 Market Ave S, Canton, OH 44702-2165 | 2014-06-03 |
1326470493 | Scott Michael Lautensleger | Social Worker | 733 Market Ave S, Canton, OH 44702-2165 | 2013-07-31 |
1700228269 | Kenneth N Wycoff | Nurse Practitioner | 733 Market Ave S, Canton, OH 44702-2165 | 2013-07-25 |
1437478484 | Jennifer S Mayle | Dietitian, Registered | 733 Market Ave S, Canton, OH 44702-2165 | 2010-05-28 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588138390 | Angela Rhoad | Peer Specialist | Coleman Professional Services 400 Tuscarawas St W., Canton, OH 44702 | 2019-01-15 |
1710426291 | Aaron Valentine | Community Health Worker | 401 West Tuscarawas Street, Suite 501, Canton, OH 44702 | 2017-02-17 |
1386028389 | Leigh Fotheringham | Skilled Nursing Facility | 800 Market Ave. North, Canton, OH 44702 | 2015-07-20 |
1427485127 | Canton College Preparatory School | Local Education Agency (LEA) | 101 Cleveland Avenue Nw, Canton, OH 44702 | 2013-09-26 |
1730337197 | Linda Lee Gemma | Registered Nurse | 733 Market St South, Canton, OH 44702 | 2008-08-28 |
1447372875 | Rushina Anil Patel | Physical Therapist | 800 Market Ave N, Canton, OH 44702 | 2007-04-05 |
1124183702 | John Mannos | Family Medicine | 333 2nd St Se, Canton, OH 44702 | 2006-12-26 |
1629556949 | Judy Chava | Nurse Practitioner | 400 Tuscarawas St W, Canton, OH 44702 | 2018-07-30 |
1407359656 | Reginald A Corner | Case Manager/Care Coordinator | 401 Tuscarawas St W Ste 501, Canton, OH 44702 | 2018-03-14 |
1609378322 | Nicole Osborne | Peer Specialist | 624 Market Ave N, Canton, OH 44702 | 2018-03-08 |
Find all providers in zip 44702 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487162319 | Mary Melvin Smith | Nurse Practitioner | 107 Cannon Run, Canton, MS 39046-8033 | 2018-01-12 |
1851838809 | Kristen Bourgon-yee | Nurse Practitioner | 236 Constitution St, Canton, MI 48188-6719 | 2017-01-30 |
1063883981 | Destiny Howe | Nurse Practitioner | 1610 Oakdale Rd, Canton, GA 30114-4512 | 2015-10-19 |
1912398827 | Andrea Johnson | Nurse Practitioner | 7440 Claremont St, Canton, MI 48187-1535 | 2015-02-13 |
1376973602 | Sarita Rao | Nurse Practitioner | 44270 Duchess Dr, Canton, MI 48187-3242 | 2013-11-22 |
1134476088 | Carla Valerie Hart-tyner | Nurse Practitioner | 3801 Whipple Ave Nw Ste 1, Canton, OH 44718-4802 | 2012-08-09 |
1902173560 | Abbey Baum-beigie | Nurse Practitioner | 626 34th Street Nw, Canton, OH 44709 | 2011-11-28 |
1073807855 | Sheri Sullins Buckley | Nurse Practitioner | 120 Oakside Ct Ste H, Canton, GA 30114 | 2011-06-08 |
1942502109 | Lynn A Nuti | Nurse Practitioner | 16 Forge Pond, Unit D, Canton, MA 02021-2995 | 2010-11-21 |
1841470010 | Wida M Miller | Nurse Practitioner | 2600 6th St Sw # A2-710, Canton, OH 44710-1702 | 2007-11-05 |
Find all providers in CANTON |
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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.