DR. CRYSTAL LYNN SHAW (NPI# 1154801207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154801207 |
| Entity Type | Individual |
| Full Name | DR. CRYSTAL LYNN SHAW |
| Credential | DNP, APRN, FNP-BC |
| Practice Address |
1511 Donelson Pkwy Dover TN 37058 |
| Mailing Address |
1511 Donelson Pkwy Dover TN 37058-3749 |
| Practice Telephone | 9312325555 |
| Mailing Telephone | 9312325555 |
| Enumeration Date | 2018-08-17 |
| Last Update Date | 2019-04-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
24827 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 900 Professional Park Dr, Clarksville, TN 370405244 | 9315386400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952759573 | Crystal Shaw | Pharmacist | 37 W Main St, Stafford Springs, CT 06076-1459 | 2016-05-25 |
| Street Address |
1511 DONELSON PKWY |
| City | DOVER |
| State | TN |
| Zip Code | 37058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477529261 | Lisa Renee' Ford | Nurse Practitioner | 1511 Donelson Pkwy, Dover, TN 37058-3749 | 2006-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023474681 | Rebecca Cravens | Nurse Practitioner | 1511 Donelson Parkway, Dover, TN 37058 | 2016-01-12 |
| 1487894028 | Joselito A Pasaol | Physical Therapist | 402 C Church Street, Dover, TN 37058 | 2009-02-23 |
| 1588809461 | Lakeway Physical Therapy Outpatient, Pllc | Clinic/Center | 402-c Church St., Dover, TN 37058 | 2008-12-08 |
| 1225212350 | Dana M. Earhart | Licensed Practical Nurse | 723 Spring Street, Attn. Dana Earhart, School Nurse, Dover, TN 37058 | 2007-12-26 |
| 1437333614 | Tammy Lagan | Occupational Therapist | 949 Hwy 79, Dover, TN 37058 | 2007-12-24 |
| 1649390956 | Beverly Lynn Lewis | Audiologist | Lewis Hearing Services, 407 A Hwy. 79, Dover, TN 37058 | 2007-03-30 |
| 1689640898 | Price Edwin Hopson Jr. | Dentist | 1021 Spring St, Dover, TN 37058 | 2006-02-27 |
| 1235630112 | Elizabeth Amelia Estock | Registered Nurse | 1021 Spring St, Dover, TN 37058 | 2018-02-26 |
| 1740793736 | Mei-suey Chen | Internal Medicine | 314 Cedar St, Dover, TN 37058 | 2017-11-13 |
| 1831302991 | Rc Blane Enterprises, PC | Nurse Practitioner | 1225 Spring St, Dover, TN 37058-0219 | 2007-05-07 |
| Find all providers in zip 37058 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205436300 | Constance Crane | Nurse Practitioner | 1711 Windswept Ct, Dover, DE 19901-5854 | 2020-10-28 |
| 1649870627 | Anita L Tyndall | Nurse Practitioner | 200 Banning St Ste 250, Dover, DE 19904-3492 | 2020-10-28 |
| 1013523422 | Mood Clinic Pllc | Nurse Practitioner | 56 Durham Rd Unit 54, Dover, NH 03820-4478 | 2020-09-21 |
| 1023631504 | Emily Reneker | Nurse Practitioner | 314 E 13th St, Dover, OH 44622-1126 | 2020-05-19 |
| 1295362333 | Melanie L Sciarra | Nurse Practitioner | 125 Greentree Dr Ste 1, Dover, DE 19904-7656 | 2020-03-26 |
| 1023655842 | Reny Varghese | Nurse Practitioner | 1225 Walker Rd # 6541, Dover, DE 19904-6541 | 2019-12-01 |
| 1205488988 | Sarah A Walsh | Nurse Practitioner | 17 Old Rollinsford Rd Ste 5, Dover, NH 03820-2821 | 2019-07-12 |
| 1891266250 | Misty Renee May | Nurse Practitioner | 1114 S Dupont Hwy Ste 104, Dover, DE 19901-4401 | 2018-12-11 |
| 1225508377 | Rosa Ann Cleaver | Nurse Practitioner | 205 Medical Park Drive, Dover, OH 44622 | 2018-12-03 |
| 1043761372 | Amber Dunlap-ott | Nurse Practitioner | 927 Chelsea Dr, Dover, OH 44622-1504 | 2016-10-21 |
| Find all providers in DOVER | ||||
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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.