HEATHER SHAW (NPI# 1023665692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023665692 |
| Entity Type | Individual |
| Full Name | HEATHER SHAW |
| Practice Address |
3117 Meadowbrook Blvd Cleveland Heights OH 44118-2849 |
| Practice Telephone | 4196854428 |
| Mailing Telephone | 4196854428 |
| Enumeration Date | 2019-08-19 |
| Last Update Date | 2019-08-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | 0001379 | OH | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1760977359 | Heather Shaw | Specialist/Technologist, Other | 2910 Brownwood Blvd, The Villages, FL 32163-2032 | 2018-06-26 |
| 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 |
3117 MEADOWBROOK BLVD |
| City | CLEVELAND HEIGHTS |
| State | OH |
| Zip Code | 44118-2849 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083237713 | Alison Marie Meehan | Counselor | 22001, Shaker Heights, OH 44118 | 2020-05-28 |
| 1437788593 | Tierra Banks | Community Health Worker | 3 Severance Circle #18618, Cleveland Heights, OH 44118 | 2020-04-02 |
| 1881220382 | Equillia Forte-mostella | Home Health Aide | 1629 Ivydale Rd, Cleveland Hts, OH 44118 | 2020-03-16 |
| 1225673080 | Karen Dames | Technician | 3260 Tullamore Rd., Cleveland Heights, OH 44118 | 2019-11-15 |
| 1285278325 | Vernessa Faye Jackson | Counselor | 22101 Fairmount Blvd, Shaker Heights, OH 44118 | 2019-11-01 |
| 1447814942 | Bluestone Child and Adolescent Psychiatric Hospital | Psychiatric Unit | 2575 S. Belvoir Blvd., University Heights, OH 44118 | 2019-04-30 |
| 1073009155 | Clarence Taylor | Counselor | 2490 Leeblvd, Cleveland, OH 44118 | 2018-07-02 |
| 1992290258 | Janet Spruill | Counselor | 2490 Lee Blvd Ste 107, Cleveland Heights, OH 44118 | 2018-06-28 |
| 1295229532 | Marcia Webster | Nurse's Aide | 3810 Grosvenor, South Euclid, OH 44118 | 2018-06-20 |
| 1508350067 | Adam M Oulton | Case Manager/Care Coordinator | 22001 Fairmont Boulevard, Shaker Heights, OH 44118 | 2018-06-19 |
| Find all providers in zip 44118 | ||||
| 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 |
|---|---|---|---|---|
| 1871083774 | Tomeka Tarrelle Hodge | Peer Specialist | 3900 Parkdale Rd, Cleveland Heights, OH 44121-1621 | 2018-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912508318 | Rosemarie Czechanski | Peer Specialist | 163 E Bridge St Apt 308, Berea, OH 44017-2187 | 2020-11-03 |
| 1396345989 | Kyle Johnston | Peer Specialist | 10525 Clifton Blvd Apt 3, Cleveland, OH 44102-1586 | 2020-11-01 |
| 1053911792 | Ryan Caleb Thomason | Peer Specialist | 3554 Raymont Blvd, University Heights, OH 44118-2604 | 2020-10-30 |
| 1104425883 | David Lashore Thomas | Peer Specialist | 55 W Bagley Rd, Berea, OH 44017-1916 | 2020-10-22 |
| 1871192039 | Terra Lynn Davis | Peer Specialist | 1074 Larkens Way, Medina, OH 44256-1277 | 2020-10-20 |
| 1972101012 | Cindy Ann Kozlik | Peer Specialist | 600 W.superior Ave, Cleveland, OH 44113 | 2020-10-12 |
| 1053918565 | Tina Louise Neal | Peer Specialist | 3637 Green Rd, Cleveland, OH 44122-5779 | 2020-10-07 |
| 1326645805 | Kristen Krajewski | Peer Specialist | 3105 Woodbridge Ave, Cleveland, OH 44109-2175 | 2020-10-07 |
| 1659978500 | Brandy Dawn Altop | Peer Specialist | 9221 Hooper Rd, Athens, OH 45701-3365 | 2020-10-05 |
| 1649887993 | Patricia A Mairet | Peer Specialist | 23 W College Ave, Springfield, OH 45504-2506 | 2020-09-29 |
| Find all providers with the same taxonomy | ||||
| City | CLEVELAND HEIGHTS |
| Zip Code | 44118 |
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.