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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 171W00000X | Contractor | 8650 | CO | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CO | 33972273 | 05 |
Street Address |
1021 STAGECOACH DR |
City | LAFAYETTE |
State | CO |
Zip Code | 80026-8703 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316189038 | Shaw Physical Therapy, Inc | Clinic/Center | 1021 Stagecoach Dr, Lafayette, CO 80026-8703 | 2009-03-26 |
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 |
Find all providers in zip 80026 |
Taxonomy Code | 171W00000X |
Grouping | Other Service Providers |
Classification | Contractor |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
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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 |
Find all providers in LAFAYETTE |
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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.