Sonya Shaw (NPI# 1396821849, PAC ID# 8820305253) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1396821849 |
| PAC ID by PECOS | 8820305253 |
| Professional Enrollment ID | I20180326000180 |
| Full Name | Sonya Shaw |
| Organization Legal Name | PEAK VISTA COMMUNITY HEALTH CENTERS |
| Address |
34 Hybrook Rd S Divide Hlth Ctr Divide CO 80814-9219 |
| Phone Number | 7196874460 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4688583974 |
| Number of Group Practice Members | 90 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 061326 | PIKES PEAK REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1400 E Boulder, Colorado Springs, CO 80909-5533 | 7196325700 | PEAK VISTA COMMUNITY HEALTH CENTERS |
| 34 Hybrook Rd S, Divide Hlth Ctr, Divide, CO 80814-9219 | 7196874460 | PEAK VISTA COMMUNITY HEALTH CENTERS |
| Organization Legal Name | PEAK VISTA COMMUNITY HEALTH CENTERS |
| Physicians | 135 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julio C Perez | Nurse Practitioner | Peak Vista Community Health Centers | 340 Printers Pkwy, Colorado Springs, CO 80910-3190 |
| Ryan Matthew Fisher | Family Medicine | Peak Vista Community Health Centers | 2828 International Cir, Suite 160, Colorado Springs, CO 80910-3127 |
| Jessica Sena | Nurse Practitioner | Peak Vista Community Health Centers | 117 W Rio Grande, Colorado Springs, CO 80903-4013 |
| Chintan Harish Kumar | Family Medicine | Peak Vista Community Health Centers | 410 Gold Pass Hts, Colorado Springs, CO 80906-3882 |
| Nicola Gigante | Nurse Practitioner | Peak Vista Community Health Centers | 350 Printers Pkwy, Colorado Springs, CO 80910-3190 |
| Suemarie S Mendez | Nurse Practitioner | Peak Vista Community Health Centers | 34 Hybrook Rd S, Divide Hlth Ctr, Divide, CO 80814-9219 |
| Alexis Chryse Michopoulos | Family Medicine | Peak Vista Community Health Centers | 722 S Wahsatch Ave, Colorado Springs, CO 80903-4035 |
| Kelli J Neely | Certified Nurse Midwife (cnm) | Peak Vista Community Health Centers | 255 S Union Blvd, Union Family Health, Colorado Springs, CO 80910-3124 |
| Camilla A Bicknell | Nurse Practitioner | Peak Vista Community Health Centers | 1400 E Boulder, Colorado Springs, CO 80909-5533 |
| Emily J Sandbach | Family Medicine | Peak Vista Community Health Centers | 1400 E Boulder, Colorado Springs, CO 80909-5533 |
| Street Address |
34 HYBROOK RD S DIVIDE HLTH CTR |
| City | DIVIDE |
| State | CO |
| Zip | 80814-9219 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Suemarie S Mendez | Nurse Practitioner | Peak Vista Community Health Centers | 34 Hybrook Rd S, Divide Hlth Ctr, Divide, CO 80814-9219 |
| Tracee Nelson Yarborough | Nurse Practitioner | Peak Vista Community Health Centers | 34 Hybrook Rd S, Divide Hlth Ctr, Divide, CO 80814-9219 |
| Jennifer L Mccarthy | Physician Assistant | Peak Vista Community Health Centers | 34 Hybrook Rd S, Divide Hlth Ctr, Divide, CO 80814-9219 |
| Iana B Sanden Shamah | Physician Assistant | Peak Vista Community Health Centers | 34 Hybrook Rd S, Divide Hlth Ctr, Divide, CO 80814-9219 |
| Joseph J Kezeor | Family Practice | Peak Vista Community Health Centers | 34 Hybrook Rd S, Divide Hlth Ctr, Divide, CO 80814-9219 |
| City | DIVIDE |
| Zip Code | 80814 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | DIVIDE + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.