JENNIFER SHAW (NPI# 1104322510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104322510 |
| Entity Type | Individual |
| Full Name | JENNIFER SHAW |
| Credential | ARNP, FNP-C, RNC-OB |
| Practice Address |
2103 N Rome Ave Tampa FL 33607-3509 |
| Mailing Address |
Po Box 82969 Tampa FL 33682-2969 |
| Practice Telephone | 8133975300 |
| Practice Fax Number | 8134901760 |
| Mailing Telephone | 8133975300 |
| Mailing Fax Number | 8134053722 |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2019-02-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
9378843 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932761962 | Jennifer Ann Shaw | Speech-Language Pathologist | 9453 Kochville Rd, Freeland, MI 48623-8623 | 2019-06-29 |
| 1417324609 | Jennifer A Shaw | Psychologist | 9231 Hamer Road, Brown County Educational Service Center, Georgetown, OH 45121 | 2015-08-24 |
| 1891139051 | Jennifer K Shaw | Dietitian, Registered | W129n7055 Northfield Dr Bldg A, Endocrinology Clinic, Menomonee Falls, WI 53051-0538 | 2013-04-18 |
| 1215231303 | Jennifer Lea Shaw | Social Worker | 215 E 4th St, Waterloo, IA 50703-4701 | 2011-01-04 |
| 1750524336 | Jennifer M Shaw | Counselor | 736 Vt Route 15 W, Hyde Park, VT 05655-9322 | 2009-04-13 |
| 1700433455 | Jennifer Nichole Shaw | Case Manager/Care Coordinator | 16 E Auglaize St, Wapakoneta, OH 45895-1577 | 2019-08-19 |
| 1447812995 | Jennifer Joan Shaw | Psychiatry & Neurology | 988435 Nebraska Medical Ctr, Omaha, NE 68198-8435 | 2019-07-05 |
| 1275017519 | Jennifer Shaw | Pharmacist | 939 Sw Morrison St, Portland, OR 97205-2727 | 2018-09-22 |
| 1780130112 | Jennifer Gail Shaw | Student in an Organized Health Care Education/Training Program | 19303 N New Tradition Rd, Sun City West, AZ 85375-3806 | 2016-08-26 |
| 1780041558 | Jennifer Shaw | Case Manager/Care Coordinator | 2525 Youree Dr, Shreveport, LA 71104 | 2016-01-25 |
| Street Address |
2103 N ROME AVE |
| City | TAMPA |
| State | FL |
| Zip Code | 33607-3509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104866870 | Tampa Family Health Centers Inc | Clinic/Center | 2103 N Rome Ave, Tampa, FL 33607-3509 | 2006-06-08 |
| 1194159459 | Lisa Mazarik | Pharmacist | 2103 N Rome Ave, Tampa, FL 33607-3509 | 2013-08-22 |
| 1659616670 | Monica Raquel Rider | Family Medicine | 2103 N Rome Ave, Tampa, FL 33607-3509 | 2012-12-03 |
| 1396986915 | Jeanette Caroline Rollins | Nurse Practitioner | 2103 N Rome Ave, Tampa, FL 33607-3509 | 2009-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326656265 | Sky City Pharmacy LLC | Pharmacy | 2812 W. Dr Martin Luther King Jr Blvd, Tampa, FL 33607 | 2020-07-16 |
| 1821614413 | Tammy Sue Alleyn | Social Worker | 4414 N. Armenia Av., Tampa, FL 33607 | 2020-06-19 |
| 1912528290 | Advanced Mobile Medical Services | Clinic/Center | 2136 W. Mlk Blvd, Tampa, FL 33607 | 2020-04-28 |
| 1659909232 | Rachel Sobiech | Social Worker | 2006 Pan Am Circle, Suite 270, Tampa, FL 33607 | 2020-03-30 |
| 1295379733 | Melizza Liz Sanchez Ayala | Registered Nurse | 1701 N Lois Avenue, Valera Apt Unit 224, Tampa, FL 33607 | 2019-10-28 |
| 1720647191 | Caretyme LLC | Clinic/Center | 1923 West St. John Street, Tampa, FL 33607 | 2019-06-10 |
| 1720545981 | Amante Medical and Diabetic Center, P.a. | Internal Medicine | 1001 N Macdill Ave. Suite B, Tampa, FL 33607 | 2019-02-25 |
| 1609360908 | Misty Dawn Ray Ross | Social Worker | 2902 N Armenia Ave Ste 200, Tampa, FL 33607 | 2018-06-20 |
| 1255825154 | Kenneth Konrad Schirer | Physical Therapist | 2700 W Dr. Mlk Blvd, Suite 300, Tampa, FL 33607 | 2018-06-14 |
| 1902314875 | Cardiac Cin of Florida, LLC | Internal Medicine | 3001 W Martin Luther King Jr Blvd, Tampa, FL 33607 | 2018-01-13 |
| Find all providers in zip 33607 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477153278 | Desirae A. Segura | Nurse Practitioner | 8218 Marauder Dr, Tampa, FL 33621-1426 | 2020-10-29 |
| 1750980173 | Vanessa P Criales | Nurse Practitioner | 4708 Pebblepointe Pl, Tampa, FL 33634-6271 | 2020-10-19 |
| 1023616778 | Latoya Tanique Sinclair | Nurse Practitioner | 4121 E Busch Blvd Apt 804, Tampa, FL 33617-5970 | 2020-10-14 |
| 1801403068 | Krystal G Solie | Nurse Practitioner | 14105 Mccormick Dr, Tampa, FL 33626-3019 | 2020-09-30 |
| 1578179784 | Brooke Sliman | Nurse Practitioner | 403 S Albany Ave Unit 2, Tampa, FL 33606-2180 | 2020-09-22 |
| 1538773791 | Cindy Irene Gearheart | Nurse Practitioner | 7712 W Powhatan Ave, Tampa, FL 33615-4133 | 2020-09-04 |
| 1447864921 | Kimberly Marie Hymiller | Nurse Practitioner | 4600 N Habana Ave Ste 13, Tampa, FL 33614-7123 | 2020-09-02 |
| 1508479841 | Andrea Mole | Nurse Practitioner | 5035 E Busch Blvd Ste 1a&1b, Tampa, FL 33617-5310 | 2020-08-26 |
| 1467065896 | Cho Yee Mon Maung | Nurse Practitioner | 2606 W Waters Ave, Tampa, FL 33614-1835 | 2020-08-25 |
| 1235741141 | Luis V Amat | Nurse Practitioner | 2301 W Clifton St, Tampa, FL 33603-1027 | 2020-08-21 |
| Find all providers in TAMPA | ||||
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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.