NATHAN LEVI SHAW (NPI# 1962931287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962931287 |
| Entity Type | Individual |
| Full Name | NATHAN LEVI SHAW |
| Credential | PMHNP |
| Practice Address |
2500 E Show Low Lake Rd Show Low AZ 85901-7994 |
| Mailing Address |
180 E 1st St S Snowflake AZ 85937-5311 |
| Practice Telephone | 9285372951 |
| Mailing Telephone | 4809934674 |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2020-05-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
AP10203 | AZ | Allopathic & Osteopathic Physicians |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP10203 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083078166 | Nathan Shaw | Student in an Organized Health Care Education/Training Program | 3800 Reservoir Rd Nw, Dept of Urology, Washington, DC 20007-2113 | 2016-04-05 |
| 1053604868 | Nathan Alan Shaw | Family Medicine | 200 Hawkins Dr, Iowa City, IA 52242 | 2011-05-26 |
| Street Address |
2500 E SHOW LOW LAKE RD |
| City | SHOW LOW |
| State | AZ |
| Zip Code | 85901-7994 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881649481 | Sheila Kay Bonnett | Social Worker | 2500 E Show Low Lake Rd, Show Low, AZ 85901-7929 | 2006-05-23 |
| 1205457207 | Victoria Jo Ray | Counselor | 2500 E Show Low Lake Rd, Show Low, AZ 85901-7994 | 2020-04-30 |
| 1871132894 | Andrea T Oakes | Nurse Practitioner | 2500 E Show Low Lake Rd, Show Low, AZ 85901-7994 | 2019-12-23 |
| 1578048708 | Heath Arnold Lindsey | Physician Assistant | 2500 E Show Low Lake Rd, Show Low, AZ 85901-7994 | 2018-10-03 |
| 1568705366 | Richard Wright | Counselor | 2500 E Show Low Lake Rd, Show Low, AZ 85901-7994 | 2013-03-29 |
| 1093004764 | Devon Jay Lawrence | Counselor | 2500 E Show Low Lake Rd, Show Low, AZ 85901-7994 | 2011-04-04 |
| 1023321908 | Joni E Dees | Counselor | 2500 E Show Low Lake Rd, Show Low, AZ 85901-7929 | 2010-07-20 |
| 1891949061 | Guidance Center Inc | Pharmacy | 2500 E Show Low Lake Rd, Show Low, AZ 85901-7994 | 2008-11-13 |
| 1427259720 | Paula Kaye Martin | Counselor | 2500 E Show Low Lake Rd, Show Low, AZ 85901-7929 | 2007-05-31 |
| 1740344993 | Jean Ronelle Callihan | Counselor | 2500 E Show Low Lake Rd, Show Low, AZ 85901-7929 | 2006-12-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811468804 | Summit Healthcare Association | Pharmacy | 4951 South White Mountain Road, Bldg A., Suite 1500, Show Low, AZ 85901 | 2018-12-17 |
| 1821446386 | Ivy L Loney | Social Worker | 580 E. Old Linden Rd #6, Show Low, AZ 85901 | 2016-05-25 |
| 1750749214 | Summit Healthcare | General Acute Care Hospital | 181 East Sylvester, Show Low, AZ 85901 | 2016-01-29 |
| 1194153916 | Alpha & Omega Physical Therapy Acc | Physical Therapist | 861 E Cooley St # B, Show Low, AZ 85901 | 2013-10-15 |
| 1033454707 | North Country Healthcare, Inc. | Family Medicine | 2600 E. Show Low Lake Rd., Show Low, AZ 85901 | 2012-12-06 |
| 1073740098 | North Country Healthcare, Inc. | Clinic/Center | 2650 E. Show Low Lake Rd, Suite 1, Show Low, AZ 85901 | 2009-06-17 |
| 1215174768 | Coast To Coast Air Ambulance, LLC | Ambulance | 3151 Airport Loop Ste 2, Show Low, AZ 85901 | 2009-01-20 |
| 1487899712 | Akdhc, LLC | Internal Medicine | 2051 Evergreen Lane, Ste D, Your Family Practice Team, Show Low, AZ 85901 | 2008-12-16 |
| 1851553192 | Health Angels Companion Care, Inc. | Technician | 1001 E. Huning, Show Low, AZ 85901 | 2008-06-27 |
| 1528231586 | Peggy Johnson | Occupational Therapist | Cusd# 24 Hwy 191, Chinle, AZ 85901 | 2008-04-10 |
| Find all providers in zip 85901 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437112240 | Cara Lee Quade | Nurse Practitioner | 2500 Show Low Lake Rd, Show Low, AZ 85901-7929 | 2006-04-11 |
| 1184231177 | Alyson Larson | Nurse Practitioner | 580 E Old Linden Rd, Show Low, AZ 85901-4817 | 2020-09-24 |
| 1871132894 | Andrea T Oakes | Nurse Practitioner | 2500 E Show Low Lake Rd, Show Low, AZ 85901-7994 | 2019-12-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608447 | Courtney Tafoya | Nurse Practitioner | 544 S 172nd Ave, Goodyear, AZ 85338-1281 | 2020-10-26 |
| 1215536479 | Yolanda D Baugh | Nurse Practitioner | 2625 W Piedmont Rd, Phoenix, AZ 85041-9540 | 2020-10-20 |
| 1871191593 | Lisa E Legg | Nurse Practitioner | 1480 E Pecos Rd Apt 3107, Gilbert, AZ 85295-1851 | 2020-10-14 |
| 1619584406 | Preston Strebeck | Nurse Practitioner | 3733 E Meadow Mist Ln, San Tan Valley, AZ 85140-5374 | 2020-09-25 |
| 1336754332 | Yvonne Maese | Nurse Practitioner | 824 N 99th Ave Ste 107-108, Avondale, AZ 85323-5324 | 2020-09-15 |
| 1306450960 | Williamsconsultant Com LLC | Nurse Practitioner | 2303 N 44th St Ste 12-1043, Phoenix, AZ 85008-2442 | 2020-09-01 |
| 1215549274 | Maria Graciela Cornejo | Nurse Practitioner | 3421 S Loback Ln, Gilbert, AZ 85297-7913 | 2020-08-20 |
| 1013529155 | Mark Skousen | Nurse Practitioner | 1745 W Western Dove Dr, Snowflake, AZ 85937-6185 | 2020-08-19 |
| 1356953699 | Rebecca Jane Turley | Nurse Practitioner | 1681 S Villas Ln, Chandler, AZ 85286-6805 | 2020-08-18 |
| 1467064063 | Dylan O'keefe Carey | Nurse Practitioner | 11702 W Fordson Dr, Marana, AZ 85653-7715 | 2020-08-17 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on NATHAN LEVI 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.