MRS. JUDY KELLY SHAW (NPI# 1720172422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720172422 |
| Entity Type | Individual |
| Full Name | MRS. JUDY KELLY SHAW |
| Credential | MS, ANP-C |
| Practice Address |
113 Holland Ave, Mc 111d Vamc Albany NY 12208 |
| Mailing Address |
167 Windy Hill Rd Greenwich NY 12834 |
| Practice Telephone | 5186266421 |
| Practice Fax Number | 5186266564 |
| Mailing Telephone | 5186954677 |
| Mailing Fax Number | 5186959621 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
F331353-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154556447 | Judy Cynthia Shaw | Licensed Practical Nurse | 4384 State Route 29, Salem, NY 12865-3620 | 2009-05-15 |
| Street Address |
113 HOLLAND AVE, MC 111D VAMC |
| City | ALBANY |
| State | NY |
| Zip Code | 12208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255959045 | Fatima Mahmood | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Department of Internal Medicine, Albany, NY 12208 | 2020-07-08 |
| 1861021784 | Jessica Anne Charles-larose | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept. of Family Medicine, Albany, NY 12208 | 2020-04-02 |
| 1235767211 | Michael Charles Harrington | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept. of Orthopedic Surgery, Albany, NY 12208 | 2020-03-27 |
| 1518594126 | Arkar Htoo | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept of Pathology, Albany, NY 12208 | 2020-03-24 |
| 1366079030 | Omar Merdan | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Dept of Medicine/pediatrics, Albany, NY 12208 | 2020-03-24 |
| 1306473079 | Sergo Gabunia | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept of General Surgery, Albany, NY 12208 | 2020-03-24 |
| 1205469392 | Cornell Andre Morris | Social Worker | Albany Stratton Va Medical Center, 113 Holland Avenue, Albany, NY 12208 | 2020-02-17 |
| 1558909234 | St. Peter's Health Partners Medical Associates, P.C. | Surgery | 319 South Manning Blvd Suite 310, Capital Region Colon & Rectal Surgery, Albany, NY 12208 | 2019-12-13 |
| 1912543265 | Meghan Rose Baxter | Social Worker | 58 Academy Rd., Albany, NY 12208 | 2019-11-21 |
| 1245883461 | Gwendolyn Medak | Registered Nurse | 15 New Scotland Ave, Albany, NY 12208 | 2019-07-17 |
| Find all providers in zip 12208 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699231324 | Veronica Carlevale Roddy | Nurse Practitioner | 23 Hackett Blvd # Mc208, Albany, NY 12208-3436 | 2019-02-19 |
| 1174002646 | Haeyoung Chong | Nurse Practitioner | 319 S Manning Blvd Ste 202, Albany, NY 12208-1743 | 2018-08-07 |
| 1376901595 | Jacqueline Aimee Dall | Nurse Practitioner | 855 Central Avenue, Albany, NY 12206 | 2016-02-02 |
| 1366874208 | Cheryl Gervin-clark | Nurse Practitioner | 2318 Pearce Ave, Albany, GA 31705-3312 | 2013-08-02 |
| 1689844839 | Tanya M Sommers | Nurse Practitioner | 33 W Dillenbeck Dr, Albany, NY 12203-3404 | 2008-03-04 |
| 1659553097 | Judy Stamper | Nurse Practitioner | 315 Sw 4th, Albany, OR 97321-3769 | 2007-11-28 |
| 1275658627 | Samara M Gabree | Nurse Practitioner | 100 Slingerland St, Albany, NY 12202-1229 | 2007-03-21 |
| 1992888036 | Children First Kidmed | Nurse Practitioner | 19115 Florida Blvd Ste A, Albany, LA 70711-3701 | 2006-10-23 |
| 1841303500 | Mary Elizabeth Mcconihe | Nurse Practitioner | 113 Holland Ave., Samuel Stratton Va Medical Center, Albany, NY 12208 | 2006-08-16 |
| 1942238308 | Jean Elizabeth Porter | Nurse Practitioner | 1 Pine West Plz, Washington Ave Ext, Albany, NY 12205-5531 | 2006-06-28 |
| Find all providers in ALBANY | ||||
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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.