MRS. JESSICA MARIE SHAW (NPI# 1841438652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841438652 |
| Entity Type | Individual |
| Full Name | MRS. JESSICA MARIE SHAW |
| Other Name | MS. JESSICA MARIE WILLIS |
| Credential | FNP-BC |
| Practice Address |
1 Medical Center Drive Clarksburg WV 26301-4199 |
| Practice Telephone | 3046233461 |
| Mailing Telephone | 3046233461 |
| Enumeration Date | 2009-02-02 |
| Last Update Date | 2009-02-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
60022 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396362521 | Jessica Shaw | Dietitian, Registered | 67 Henderson Ln, Hanover, MA 02339-1581 | 2020-07-04 |
| 1841530128 | Jessica Lynn Shaw | Counselor | S73w16485 Janesville Rd, Muskego, WI 53150-8960 | 2013-02-22 |
| 1174805147 | Jessica Rae Shaw | Dietitian, Registered | 1000 N Lincoln Ave, Sutie 2900, Oklahoma City, OK 73104 | 2011-09-15 |
| 1235428459 | Jessica Anna Shaw | Marriage & Family Therapist | 6420 E Broadway Blvd Ste B200, Tucson, AZ 85710-3514 | 2011-03-29 |
| 1740349281 | Jessica R Shaw | Acupuncturist | 17 Mystic St, Medford, MA 02155-3611 | 2006-12-08 |
| 1386125847 | Jessica Shaw | Occupational Therapist | 920 S 4th St, Louisville, KY 40203-3206 | 2018-08-23 |
| 1609381888 | Jessica Shaw | Behavioral Analyst | 345 Greenwood St Ste A, Worcester, MA 01607-1767 | 2017-12-09 |
| 1861940983 | Jessica Shaw | Pharmacist | 5400 Gibson Blvd Se, Albuquerque, NM 87108-4729 | 2016-09-18 |
| 1992172894 | Jessica Shaw | Physical Therapist | 300 Kildaire Woods Dr, Cary, NC 27511 | 2015-08-26 |
| 1548661812 | Jessica Shaw | Occupational Therapist | 200 Governors Ave, Medford, MA 02155-1644 | 2014-09-05 |
| Street Address |
1 MEDICAL CENTER DRIVE |
| City | CLARKSBURG |
| State | WV |
| Zip Code | 26301-4199 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912900457 | John Edward Damm | Psychologist | 1 Medical Center Drive, Clarksburg, WV 26301 | 2005-05-29 |
| 1396358461 | Karene Teresa Moses | Social Worker | 1 Medical Center Drive, Clarksburg, WV 26301-3859 | 2020-08-28 |
| 1437760964 | Lindsay M Pomp | Social Worker | 1 Medical Center Drive, Clarksburg, WV 26301 | 2020-08-10 |
| 1174084735 | Brianna Godfrey | Psychologist | 1 Medical Center Drive, Clarksburg, WV 26301 | 2019-03-27 |
| 1477018695 | Emma Elizabeth Cogar | Psychologist | 1 Medical Center Drive, Clarksburg, WV 26301 | 2019-02-01 |
| 1528539285 | Elizabeth Ann Masters | Nurse Practitioner | 1 Medical Center Drive, Clarksburg, WV 26301 | 2018-12-06 |
| 1407321748 | Maureen Gallagher Russell | Physician Assistant | 1 Medical Center Drive, Behavioral Health Department, Clarksburg, WV 26301 | 2018-10-12 |
| 1851806178 | Paul Jerome Robrecht Jr. | Psychologist | 1 Medical Center Drive, Clarksburg, WV 26301 | 2017-12-08 |
| 1265943856 | Amanda Marie Dent | Dietitian, Registered | 1 Medical Center Drive, Clarksburg, WV 26301 | 2017-10-23 |
| 1154848554 | Katrina Louise Durst | Pharmacist | 1 Medical Center Drive, Clarksburg, WV 26301 | 2017-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114539525 | Christina Burnside | Technician | 89 Green Acres, Clarksburg, WV 26301 | 2020-08-18 |
| 1447764907 | Jonathan Moore | Nurse Practitioner | 1 Medical Ctr. Drive, Clarksburg, WV 26301 | 2017-11-20 |
| 1003241936 | Jennifer Destito | Occupational Therapist | 308 E B Saunders Way, Clarksburg, WV 26301 | 2013-09-11 |
| 1215290481 | Dustin James Getz | Dentist | 200 Route 98 Medwood Plaza, Suite 302, Nutter Fort, WV 26301 | 2012-06-21 |
| 1326339987 | Debra Amos | Counselor | 200 Route 98, Nutter Fort, WV 26301 | 2011-04-29 |
| 1649572140 | Amanda Wilfong | Pharmacist | W Pike and Smith St, Clarksburg, WV 26301 | 2010-12-03 |
| 1265661060 | Jaclyn Elsey Rominger | Dentist | 2017 East Pike St, All Smiles Dental LLC, Clarksburg, WV 26301 | 2009-07-14 |
| 1588815732 | Kimberly Sue Waggy | Psychologist | 408 Eb Saunders Way, Clarksburg, WV 26301 | 2008-10-07 |
| 1659521862 | Eyemart Express, Ltd. | Durable Medical Equipment & Medical Supplies | 538 Emily Dr., Space 20, Clarksburg, WV 26301 | 2008-09-24 |
| 1477715753 | Roxanna L Rinehart | Registered Nurse | 1 Med Ctr Dr, Louis A Johnson Vamc, Clarksburg, WV 26301 | 2008-06-27 |
| Find all providers in zip 26301 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487288031 | Catherine Elizabeth Tricase | Nurse Practitioner | 256 N Ohio Ave, Clarksburg, WV 26301-2233 | 2020-02-22 |
| 1952931842 | Toshua Dainelle Roe | Nurse Practitioner | 1505 N 20th St, Clarksburg, WV 26301-1569 | 2020-01-21 |
| 1306492483 | Megan Ashley Cornman | Nurse Practitioner | 1279 Clarksburg Rd, Clarksburg, PA 15725-7744 | 2019-08-14 |
| 1447764907 | Jonathan Moore | Nurse Practitioner | 1 Medical Ctr. Drive, Clarksburg, WV 26301 | 2017-11-20 |
| 1689738965 | Elizabeth A Kim | Nurse Practitioner | 12138 Cypress Spring Rd, Clarksburg, MD 20871-4417 | 2006-12-20 |
| 1487767646 | Kathy Leyvonne Ross | Nurse Practitioner | 1 Medical Drive, Clarksburg, WV 26301 | 2006-08-15 |
| 1871102277 | Shannon Miller Ullman | Nurse Practitioner | 489 Washington Ave, Clarksburg, WV 26301-2825 | 2020-07-31 |
| 1356969927 | Diana Lynn Davis | Nurse Practitioner | 700 Oakmound Rd, Clarksburg, WV 26301-9398 | 2020-07-10 |
| 1710546296 | Angela Megan Sessions | Nurse Practitioner | 700 Oakmound Rd, Clarksburg, WV 26301-9398 | 2019-06-10 |
| 1073009775 | Charleen Nicole Dye | Nurse Practitioner | 469 Emily Dr, Clarksburg, WV 26301-5512 | 2018-07-05 |
| Find all providers in CLARKSBURG | ||||
| City | CLARKSBURG |
| Zip Code | 26301 |
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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.