KELLY L SHAW (NPI# 1114113214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114113214 |
| Entity Type | Individual |
| Full Name | KELLY L SHAW |
| Credential | RN |
| Practice Address |
8154 Painted Tree Trl Fort Worth TX 76131-4559 |
| Practice Telephone | 8173065604 |
| Mailing Telephone | 8173065604 |
| Enumeration Date | 2007-09-21 |
| Last Update Date | 2007-09-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0400X |
Registered Nurse Specialization: Case Management |
664845 | TX | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336762822 | Kelly Shaw | Student in an Organized Health Care Education/Training Program | 9800 Warwickshire Ln, Charlotte, NC 28270-1601 | 2020-05-19 |
| 1801928924 | Kelly P Shaw | Dentist | 75-5995 Kuakini Hwy Ste 113, Kailua Kona, HI 96740-2120 | 2007-03-12 |
| 1780231100 | Kelly Grace Shaw | Behavior Technician | 565 Benfield Rd Ste 300, Severna Park, MD 21146-2517 | 2019-08-21 |
| 1700277852 | Kelly Shaw | Registered Nurse | 5901 E 7th St, Long Beach, CA 90822-5201 | 2015-02-11 |
| 1205226107 | Kelly Corey Shaw | Acupuncturist | 6018 Se Stark St, Portland, OR 97215-1990 | 2015-01-29 |
| 1790049807 | Kelly Shaw | Speech-Language Pathologist | 5219 88th Ave, Kenosha, WI 53144-7468 | 2012-07-03 |
| 1720213358 | Kelly Shaw | Social Worker | 1001 Georges Station Rd, Greensburg, PA 15601-6982 | 2009-05-27 |
| 1740431915 | Kelly Shaw | Physical Therapist | 200 2nd Ave, Kingston, PA 18704-5722 | 2008-10-07 |
| 1376723874 | Kelly Anne Shaw | Counselor | 200 Heritage Way, Kalispell, MT 59901-3146 | 2007-11-13 |
| 1235255829 | Kelly Shaw | Occupational Therapy Assistant | 19401 S Vermont Ave, Suite A-200, Torrance, CA 90502-1029 | 2007-03-22 |
| Street Address |
8154 PAINTED TREE TRL |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76131-4559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497390686 | Chigane Abraham | Nurse Practitioner | 8609 Glenburne Dr, Fort Worth, TX 76131 | 2019-11-12 |
| 1578056016 | Anna Spencer | Dentist | 608 E Bailey Boswell Rd Ste 100, Saginaw, TX 76131 | 2018-06-10 |
| 1396010096 | Samuel H. Davis Md Pa | Pediatrics | 604 E. Bailey Boswell, Suite 140, Saginaw, TX 76131 | 2012-03-13 |
| 1326358961 | Chad A. Curlee, D.o., P.a. | Family Medicine | 2720 Western Center Blvd, Suite 312, Fort Worth, TX 76131 | 2010-10-18 |
| 1184937302 | Hemanth Sahukar | Dentist | 7260 Blue Mound Rd Ste 148, Fort Worth, TX 76131 | 2010-07-16 |
| 1427207174 | Er Dental Pllc | Dentist | 2700 Western Center Blvd, Suite 128, Fort Worth, TX 76131 | 2008-09-17 |
| 1295956787 | Michael Robert Jarrard | Preventive Medicine | Bnsf Railway, 2500 Lou Menk Dr Aob-gl, Fort Worth, TX 76131 | 2007-05-01 |
| 1578692349 | Gail Ann Hollar | Dentist | 2700 Western Center Blvd., #128, Fort Worth, TX 76131 | 2007-03-05 |
| 1588869036 | Blue Mound Volunteer Fire Department | Emergency Medical Technician, Basic | 301 S Blue Mound Rd, Blue Mound, TX 76131-1030 | 2007-06-15 |
| 1114987294 | Ronald Richard Redden | Specialist/Technologist | 800 N Blue Mound Rd, Saginaw, TX 76131-1052 | 2006-03-24 |
| Find all providers in zip 76131 | ||||
| Taxonomy Code | 163WC0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114313772 | John Allen Baker | Registered Nurse | 809 Newport Rd, Fort Worth, TX 76120 | 2015-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669093639 | Leslie Victoria Macias | Registered Nurse | 8000 W Interstate 10 Ste 1500, San Antonio, TX 78230-3883 | 2020-05-01 |
| 1124649546 | Blanca Rosa Amador | Registered Nurse | 205 Redwood Dr, Coppell, TX 75019-5422 | 2020-04-27 |
| 1538794169 | Tina L Coen | Registered Nurse | 10923 W State Highway 7, Nacogdoches, TX 75964-2325 | 2020-03-04 |
| 1326696436 | Cush Young | Registered Nurse | 1908 Parkside Mews, Lancaster, TX 75146-0120 | 2019-09-01 |
| 1538715297 | Treasure Chest Global | Registered Nurse | 3512 Mclean Rd, Pearland, TX 77584-9007 | 2019-08-16 |
| 1821653627 | Misstex Healthcare Consulting, LLC | Registered Nurse | 10854 Chickasha Dr, Tyler, TX 75703-7924 | 2019-05-07 |
| 1083180608 | Kaneisha Teague | Registered Nurse | 15335 Paseo Del Rey Dr, Houston, TX 77083-2427 | 2018-10-22 |
| 1851870604 | Melissa Smith | Registered Nurse | 212 Fernwood St, Bridge City, TX 77611-2328 | 2018-08-13 |
| 1154800076 | Anna Elizabeth Gonzalez | Registered Nurse | 1103 Grover Ave, Lubbock, TX 79416-5007 | 2018-08-10 |
| 1477032571 | Diana Pemberton | Registered Nurse | 1255 W 15th St Ste 1025, Plano, TX 75075-7253 | 2018-08-09 |
| Find all providers with the same taxonomy | ||||
| City | FORT WORTH |
| Zip Code | 76131 |
Please comment or provide details below to improve the information on KELLY L 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.