HEATHER SHAW (NPI# 1760977359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760977359 |
| Entity Type | Individual |
| Full Name | HEATHER SHAW |
| Other Name | HEATHER MALONE |
| Practice Address |
2910 Brownwood Blvd The Villages FL 32163-2032 |
| Mailing Address |
1020 Lake Sumter Lndg The Villages FL 32162-2699 |
| Practice Telephone | 3526741790 |
| Practice Fax Number | 3526748990 |
| Mailing Telephone | 3526741790 |
| Mailing Fax Number | 3526748990 |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2018-06-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
156466 | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023665692 | Heather Shaw | Peer Specialist | 3117 Meadowbrook Blvd, Cleveland Heights, OH 44118-2849 | 2019-08-19 |
| 1356685135 | Heather Shaw | Physician Assistant | 10238 Sw 86th Cir Unit 300, Ocala, FL 34481-7625 | 2012-11-19 |
| 1952336760 | Heather Ann Shaw | Chiropractor | 844 Jackson Street, Santa Clara, CA 95050 | 2006-07-11 |
| 1013557354 | Heather Shaw | Nurse Practitioner | 2858 Sunset Blvd, West Columbia, SC 29169-3420 | 2020-01-15 |
| 1073079174 | Heather Anne Shaw | Speech-Language Pathologist | 510 Carpenter Ave, Mooresville, NC 28115-2512 | 2019-02-13 |
| 1366991556 | Heather Nicole Shaw | Licensed Practical Nurse | 1010 E 10th St, Tucson, AZ 85719-5813 | 2016-09-28 |
| 1629343579 | Heather Shaw | Occupational Therapist | 3817 Cloverhill Ct, Brandon, FL 33511-7937 | 2012-03-11 |
| 1487989349 | Heather Denise Shaw | Physical Therapy Assistant | 601 N Briarcliff Dr, Appleton, WI 54915-2959 | 2009-10-12 |
| 1972732667 | Heather Rene Shaw | Counselor | 5450 Power Inn Rd Ste B, Sacramento, CA 95820-6749 | 2009-07-02 |
| 1073641643 | Heather Catherine Shaw | Nurse Practitioner | 300 Pasteur Dr, Stanford, CA 94305-2200 | 2007-03-02 |
| Street Address |
2910 BROWNWOOD BLVD |
| City | THE VILLAGES |
| State | FL |
| Zip Code | 32163-2032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043212780 | Greg J Jun | Internal Medicine | 2910 Brownwood Blvd, The Villages, FL 32163-2032 | 2005-08-12 |
| 1558996017 | Prudence J Artello | Dietitian, Registered | 2910 Brownwood Blvd, The Villages, FL 32163-2032 | 2020-03-05 |
| 1639722887 | Troy Edward Black Pace | Physician Assistant | 2910 Brownwood Blvd, The Villages, FL 32163-2032 | 2019-07-17 |
| 1265999890 | Willie Lee Hudson | Nurse Practitioner | 2910 Brownwood Blvd, The Villages, FL 32163-2032 | 2019-03-01 |
| 1194265165 | Kim M Coffey | Nurse Practitioner | 2910 Brownwood Blvd, The Villages, FL 32163-2032 | 2017-02-24 |
| 1780051433 | Vjolka Zaka | Audiologist | 2910 Brownwood Blvd, The Villages, FL 32163-2032 | 2015-08-28 |
| 1821470477 | Kiran Babu Lachireddy | Physician Assistant | 2910 Brownwood Blvd, The Villages, FL 32163-2032 | 2015-06-19 |
| 1023496643 | Michael Casteel | Podiatrist | 2910 Brownwood Blvd, The Villages, FL 32163 | 2015-05-14 |
| 1104218437 | Lisa Morris | Nurse Practitioner | 2910 Brownwood Blvd, The Villages, FL 32163-2032 | 2015-02-24 |
| 1033344239 | Erin Marie Deegan | Psychiatry & Neurology | 2910 Brownwood Blvd, The Villages, FL 32163-2032 | 2009-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164958773 | Peepers Eyecare Inc | Technician/Technologist | 2478 Burnsed Blvd #466a, The Villages, FL 32163 | 2017-05-03 |
| 1710334800 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 695 Kristine Way, The Villages, FL 32163 | 2016-05-18 |
| 1396168571 | Samson Merger Sub, LLC | Durable Medical Equipment & Medical Supplies | 2500 Burnsed Blvd, The Villages, FL 32163 | 2014-01-24 |
| 1023246527 | Charles F Knapp IIi | Dermatology | 2783 Brownwood Blvd, The Villages, FL 32163 | 2009-06-24 |
| 1508986035 | Robert Alan Harrison | Physical Therapist | 340 Heald Way Ste 100, The Villages, FL 32163 | 2007-03-29 |
| 1659318418 | Sue Allen Schueler | Nurse Practitioner | 2485 Pinellas Place, The Villages, FL 32163 | 2006-06-01 |
| 1740283761 | Thomas M Krizmanich | Orthopaedic Surgery | 2910 Brownwood Blvd., The Villages, FL 32163 | 2005-05-23 |
| 1891319422 | Dermatology Institute and Skin Cancer Center LLC | Dermatology | 2783 Brownwood Blvd, The Villages, FL 32163 | 2020-05-29 |
| 1336793561 | Tanya R Brown | Nurse Practitioner | 2485 Pinellas Pl, The Villages, FL 32163 | 2019-07-25 |
| 1033762588 | St Luke's At The Villages Brownwood Pa | Ophthalmology | 2955 Brownwood Blvd, The Villages, FL 32163 | 2019-07-23 |
| Find all providers in zip 32163 | ||||
| Taxonomy Code | 246ZC0007X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Surgical Assistant |
| A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training. |
| Notes: Source: Association of Surgical Assistants, 2014. [7/1/2014: title modified, definition modified] http://www.surgicalassistant.org/index.php/surgical-assisting Additional Resources: National Surgical Assistant Association, www.nsaa.net. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275349 | Ydalina Inmaculada Coste Jimenez | Specialist/Technologist, Other | 6817 College Ct Apt 103, Davie, FL 33317-7169 | 2020-11-07 |
| 1508467374 | Anthony Arias Bravo | Specialist/Technologist, Other | 2380 Fairmont Ave, Miramar, FL 33025-3818 | 2020-11-06 |
| 1831798206 | Yanosit Garcia | Specialist/Technologist, Other | 7945 W 31st Ct, Hialeah, FL 33018-3852 | 2020-10-18 |
| 1043819485 | Vivian Martin | Specialist/Technologist, Other | 3401 Sw 10th St Apt 4, Miami, FL 33135-4431 | 2020-10-17 |
| 1891394243 | Tami Coromoto Fort | Specialist/Technologist, Other | 3433 Garden Ave Apt 4, Miami Beach, FL 33140-3847 | 2020-10-17 |
| 1144829581 | Diana Carolina Villalba Pena | Specialist/Technologist, Other | 555 S Luna Ct Apt 111, Hollywood, FL 33021-7564 | 2020-10-17 |
| 1871192211 | Luis Enrique Perez Sanchez | Specialist/Technologist, Other | 15411 Sw 77th Circle Ln Apt 205, Miami, FL 33193-1823 | 2020-10-17 |
| 1598376493 | Melissa Croskey | Specialist/Technologist, Other | 7271 Bucks Ford Dr, Riverview, FL 33578-8379 | 2020-08-13 |
| 1114545498 | Genesis Navas | Specialist/Technologist, Other | 1330 Coral Way Ste 306, Miami, FL 33145-2945 | 2020-07-13 |
| 1629696786 | Indhira Y Pena | Specialist/Technologist, Other | 20 Commodore Dr Apt 114, Plantation, FL 33325-2676 | 2020-07-06 |
| Find all providers with the same taxonomy | ||||
| City | THE VILLAGES |
| Zip Code | 32163 |
Please comment or provide details below to improve the information on HEATHER 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.