JESSICA RAE SHAW


Address: 1000 N Lincoln Ave, Sutie 2900, Oklahoma City, OK 73104
Phone: 4052713652

JESSICA RAE SHAW (NPI# 1174805147) 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) 1174805147
Entity Type Individual
Full Name JESSICA RAE SHAW
Credential MS, RD, LD
Practice Address 1000 N Lincoln Ave
Sutie 2900
Oklahoma City
OK 73104
Mailing Address 5701 N Portland Ave
Ste 125
Oklahoma City
OK 73112-1670
Practice Telephone 4052713652
Practice Fax Number 4052717522
Mailing Telephone 4056044498
Mailing Fax Number 4056044195
Enumeration Date 2011-09-15
Last Update Date 2016-04-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133VN1006X Dietitian, Registered
Specialization: Nutrition, Metabolic
1644 OK Dietary & Nutritional Service Providers

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1740349281 Jessica R Shaw Acupuncturist 17 Mystic St, Medford, MA 02155-3611 2006-12-08
1386125847 Jessica Shaw Occupational Therapist 920 S 4th St, Louisville, KY 40203-3206 2018-08-23
1609381888 Jessica Shaw Behavioral Analyst 345 Greenwood St Ste A, Worcester, MA 01607-1767 2017-12-09
1861940983 Jessica Shaw Pharmacist 5400 Gibson Blvd Se, Albuquerque, NM 87108-4729 2016-09-18
1992172894 Jessica Shaw Physical Therapist 300 Kildaire Woods Dr, Cary, NC 27511 2015-08-26
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1285964353 Jessica Marie Shaw Podiatrist 1700 S Lincoln Ave, Lebanon, PA 17042-7529 2010-01-12

Office Location

Street Address 1000 N LINCOLN AVE
SUTIE 2900
City OKLAHOMA CITY
State OK
Zip Code 73104

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356979645 Kayla Campbell Dietitian, Registered Stephenson Cancer Center, 800 Ne 10th Street, Oklahoma City, OK 73104 2020-03-31
1447715453 Roman Michael Garcia Dentist Ou Children's Physicians - Dental Clinic, 1200 Children's Ave, 8f, Oklahoma City, OK 73104 2019-02-04
1265902340 Jenna Lyn Celii Registered Nurse 920 Sl Young Blvd Ste 1140, Oklahoma City, OK 73104 2018-11-30
1407337462 Opus Medical, LLC Psychiatry & Neurology 4 Ne 10th St Suite 467, Oklahoma City, OK 73104 2018-08-27
1316433295 Syed Muhammad Shakaib Quadri Pathology 940 Stanton L. Young Blvd., Bmsb 451, Oklahoma City, OK 73104 2018-07-03
1447746417 Nimrah Bader Internal Medicine 800 Stanton L. Young Blvd., Aat 6300, Oklahoma City, OK 73104 2018-07-02
1417440793 Helen Judith Turkson Apetor Nurse Practitioner 700 Ne 13th, Oklahoma City, OK 73104 2018-06-11
1003307935 Mary Katlin Nixon Obstetrics & Gynecology 800 Stanton L Young Blvd Ste 2319, Oklahoma City, OK 73104 2018-05-26
1558851220 Bryce Yohannan Student in an Organized Health Care Education/Training Program 800 Stanton L Young Blvd, Aat 6300, Oklahoma City, OK 73104 2018-05-17
1346746690 Kacy Anne Richburg Orthopaedic Surgery 711 Stanton L Young Blvd Ste 111, Oklahoma City, OK 73104 2018-04-04
Find all providers in zip 73104

Taxonomy Information

Taxonomy Code 133VN1006X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered
Specialization Nutrition, Metabolic

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558867788 Ashley Lynn Ethriedge Dietitian, Registered 1200 N Phillips Ave Ste 12100, Oklahoma City, OK 73104-4600 2018-04-05
1659593168 Banister & Associates LLC Dietitian, Registered 4200 West Memorial Rd, Suite 508, Oklahoma City, OK 73120 2007-05-03
1134220171 William Keith Glodowski Dietitian, Registered 921 Ne 13th St Dept Veterans, N&fs 120, Oklahoma City, OK 73104-5007 2006-09-25
1811510530 Bailey Chambers Dietitian, Registered 3330 Nw 56th St Ste 500, Oklahoma City, OK 73112-4470 2020-05-28
1518515956 Well Rooted Health and Nutrition Dietitian, Registered 3330 Nw 56th St Ste 608, Oklahoma City, OK 73112-4470 2019-08-28
1962783290 Lacey Bixler Dietitian, Registered 1000 N Lincoln Blvd, Suite 2900, Oklahoma City, OK 73104-3252 2011-08-31

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1104191931 Suzanne Elizabeth Gauldin Dietitian, Registered 12175 N 179th East Ave, Collinsville, OK 74021-6259 2012-03-12
1982747861 Betty Jean Chuculate Dietitian, Registered 1265 South Utica Ste. 100n, Tulsa, OK 74104-4090 2007-02-14
1285886713 Comanche County Healthcare Corp Dietitian, Registered 3201 W Gore Blvd, Suite 103, Lawton, OK 73505-6378 2008-10-15
1851513600 Rebecca Sue Hollander Dietitian, Registered 3401 W Gore Blvd, Lawton, OK 73505-6332 2007-05-02
1245452002 Jan Marie Miller Dietitian, Registered 3401 W Gore Blvd, Lawton, OK 73505-6332 2007-05-02

Competitor

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City OKLAHOMA CITY
Zip Code 73104

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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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