EILISE MAEVE SHAW (NPI# 1023616638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023616638 |
| Entity Type | Individual |
| Full Name | EILISE MAEVE SHAW |
| Practice Address |
430 Niagara St Buffalo NY 14201-1886 |
| Practice Telephone | 7168531335 |
| Mailing Telephone | 7168531335 |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2020-10-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
430 NIAGARA ST |
| City | BUFFALO |
| State | NY |
| Zip Code | 14201-1886 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285628149 | Dianne M Loomis | Family Medicine | 430 Niagara St, Ubmd At Lakeshore, Buffalo, NY 14201-1886 | 2005-09-07 |
| 1477153906 | Veronica Thompson | Peer Specialist | 430 Niagara St, Buffalo, NY 14201-1886 | 2020-10-26 |
| 1083226914 | Iris Savoy-burke | Peer Specialist | 430 Niagara St, Buffalo, NY 14201-1886 | 2020-08-21 |
| 1235749300 | Kaitlyn Haux | Case Manager/Care Coordinator | 430 Niagara St, Buffalo, NY 14201-1886 | 2020-08-04 |
| 1134737638 | Sedaya Thorne | Counselor | 430 Niagara St, Buffalo, NY 14201-1886 | 2020-07-21 |
| 1306464086 | Anna Marinsky Sharpe | Counselor | 430 Niagara St, Buffalo, NY 14201-1886 | 2020-07-09 |
| 1356965032 | Karan Walker | Counselor | 430 Niagara St, Buffalo, NY 14201-1886 | 2020-05-29 |
| 1942824560 | Bianca J Bassett | Counselor | 430 Niagara St, Buffalo, NY 14201-1886 | 2020-05-29 |
| 1528681434 | Linzy Jourdi | Counselor | 430 Niagara St, Buffalo, NY 14201-1886 | 2020-05-26 |
| 1902429129 | Alycia M Willoughby | Counselor | 430 Niagara St, Buffalo, NY 14201-1886 | 2020-05-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619592201 | Linda Berkoh-asamoah | Nurse Practitioner | Evergreen Health Services, 206 S. Elmwood Avenue, Buffalo, NY 14201 | 2020-06-10 |
| 1790223303 | Walaa Kadhum | Social Worker | 340 Niagara Street, Buffalo, NY 14201 | 2017-02-02 |
| 1285171025 | Santina Grace Phillips | Counselor | 10 Symphony Circle, Buffalo, NY 14201 | 2017-01-31 |
| 1073976759 | Jana Riesterer | Social Worker | 254 Virginia Street, Buffalo, NY 14201 | 2016-03-31 |
| 1710309414 | Chs N.y. Medical P.C. | General Practice | 10 Sheridan Rd, Buffalo, NY 14201 | 2014-01-15 |
| 1467722314 | Kristin Nicole Halter | Counselor | 591 Niagara Street, Buffalo, NY 14201 | 2012-01-10 |
| 1538446844 | Robert Martin Kennuth | Specialist/Technologist | 329 Porter Ave, D'youville College, Buffalo, NY 14201 | 2011-11-15 |
| 1902115033 | James W Burcher | Registered Nurse | 430 Niagara, Buffalo, NY 14201 | 2010-10-07 |
| 1336468115 | Jane Leslie Burgio | Speech-Language Pathologist | 315 Carolina St, Buffalo, NY 14201 | 2010-05-19 |
| 1376787044 | Jessica Christina | Licensed Practical Nurse | 85 Johnson Park, Buffalo, NY 14201 | 2009-04-26 |
| Find all providers in zip 14201 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669070207 | Sayeeda Zorita Daniels | Peer Specialist | 111 Woodlawn Ave Apt 2, Buffalo, NY 14209-1713 | 2020-10-15 |
| 1053924522 | Graham Joshua Anderson | Peer Specialist | 64 Linwood Ave., Buffalo, NY 14209 | 2020-08-25 |
| 1184285702 | Terence Andre Nix | Peer Specialist | 25 Delsan Ct, Buffalo, NY 14216-1212 | 2019-06-25 |
| 1225552003 | Karen Romaina Ellington I | Peer Specialist | 95 W Humboldtparkway, Buffalo, NY 14214 | 2017-08-02 |
| 1417354531 | Families' Child Advocacy Network, Inc. | Peer Specialist | 135 Delaware Ave, Suite 307, Buffalo, NY 14202-2416 | 2014-12-04 |
| 1780285296 | Mental Health Association of Erie County | Peer Specialist | 1021 Broadway St, Buffalo, NY 14212-1460 | 2020-11-03 |
| 1477153906 | Veronica Thompson | Peer Specialist | 430 Niagara St, Buffalo, NY 14201-1886 | 2020-10-26 |
| 1184239816 | Mqdad Bayz | Peer Specialist | 255 Delaware Ave, Buffalo, NY 14202-2016 | 2020-09-10 |
| 1083226914 | Iris Savoy-burke | Peer Specialist | 430 Niagara St, Buffalo, NY 14201-1886 | 2020-08-21 |
| 1588286280 | Jasmine Shaddai Carroll | Peer Specialist | 1050 Niagara St, Buffalo, NY 14213-2001 | 2020-05-15 |
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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.