JOHNELLE NUSPL SHAW


Address: 1021 Stagecoach Dr, Lafayette, CO 80026-8703
Phone: 3035149912

JOHNELLE NUSPL SHAW (NPI# 1134380587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134380587
Entity Type Individual
Full Name JOHNELLE NUSPL SHAW
Credential PT, MSPT, DPT
Practice Address 1021 Stagecoach Dr
Lafayette
CO 80026-8703
Practice Telephone 3035149912
Mailing Telephone 3035149912
Enumeration Date 2008-06-18
Last Update Date 2020-10-07
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171W00000X Contractor 8650 CO Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CO 33972273 05

Office Location

Street Address 1021 STAGECOACH DR
City LAFAYETTE
State CO
Zip Code 80026-8703

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316189038 Shaw Physical Therapy, Inc Clinic/Center 1021 Stagecoach Dr, Lafayette, CO 80026-8703 2009-03-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528671690 Julia Michele Colton Occupational Therapist 110 S. Roosevelt Ave, Lafayette, CO 80026 2020-08-28
1265045900 Amber M. Roter Social Worker 588 N Us-287 Co, Suite 200, Lafayette, CO 80026 2020-08-24
1669008314 Dr. Sunda Friedman Tebockhorst Psychologicl Services, Ltd Clinic/Center 588 N Hwy 287, Suite 200, Lafayette, CO 80026 2020-03-13
1659918910 Emily Nicole Pearson Behavior Technician 961 Sandstone Circle, Lafayette, CO 80026 2019-12-05
1790320612 Gs Campus Asc, LLC Clinic/Center Lafayette Surgery Center, 340 Exempla Circle, Suite #400, Lafayette, CO 80026 2019-11-14
1639711864 Martina Christina Holzach Student in an Organized Health Care Education/Training Program 1455 Dixon Ave, Suite #300, Lafayette, CO 80026 2019-10-09
1104474055 2nd Star Counseling Clinic/Center 260 S. Public Rd, Lafayette, CO 80026 2019-09-03
1912460015 Premier Eye Surgery Center of Colorado, LLC Clinic/Center 1050 W. South Boulder Road, Lafayette, CO 80026 2019-04-08
1144704883 Nikole J Randolph Nutritionist 2770 Dagny Way Suite 210, Lafayette, CO 80026 2018-09-19
1609388842 Claro Scientific Laboratories Corp Clinical Medical Laboratory 1408 Horizon Ave Ste 101, Lafayette, CO 80026 2017-10-27
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Taxonomy Information

Taxonomy Code 171W00000X
Grouping Other Service Providers
Classification Contractor

Taxonomy Definition

A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).
Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568085611 Ryan Austin Contractor 600 Lafittes Landing Pass, Lafayette, LA 70508-5433 2020-05-24
1063885457 Nicole Carroll Wolfe Contractor 206 E Peck Blvd, Lafayette, LA 70508-7474 2015-11-06
1639564701 Renee Lynn Outlaw Contractor 3705 Mt Diablo Blvd Ste B, Lafayette, CA 94549-3540 2015-04-05
1225459613 Rachel Courville Contractor 509 Camellia Dr, Lafayette, LA 70503-4701 2014-01-02
1689980104 Rachel Ann Claussen Contractor 1002 S 12th St, Lafayette, IN 47905-1476 2010-08-21
1134440514 Src International LLC Contractor 144 Banks Ave, Lafayette, LA 70506-1988 2010-06-19
1669649695 Stephanie Ann Cogburn Contractor 4620 W Congress St Apt 50, Lafayette, LA 70506-6632 2008-05-08
1881803625 Allison Cormier Contractor 512 Cane Dr, Lafayette, LA 70508-4339 2007-05-21
1275092553 Adrian Inez Baytop Contractor 1017 Saint John St, Lafayette, LA 70501-6711 2019-03-17
1275997892 Network Therapies, Inc Contractor 3203 Lucas Dr, Lafayette, CA 94549-5546 2016-04-09
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Competitor

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City LAFAYETTE
Zip Code 80026

Improve Information

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Dataset Information

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.

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