DR. KATHRYN MARY SHAW (NPI# 1255593240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255593240 |
| Entity Type | Individual |
| Full Name | DR. KATHRYN MARY SHAW |
| Credential | PH.D., D.C. |
| Practice Address |
245 Bellagio Cir Sanford FL 32771-5001 |
| Mailing Address |
1094 Outlook Dr Deltona FL 32725-8329 |
| Practice Telephone | 4072423301 |
| Practice Fax Number | 4073585425 |
| Mailing Telephone | 4074214554 |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2010-08-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH9554 | FL | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 000854600 | 05 | |
| FL | BCBS | 88959 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265570659 | Kathryn Shaw | Midwife | 1210 N Main St, Las Cruces, NM 88001-1102 | 2007-02-01 |
| 1568484798 | Kathryn Elizabeth Shaw | Counselor | 3309 S Kingshighway Blvd, Saint Louis, MO 63139-1101 | 2006-07-24 |
| 1588277602 | Kathryn Shaw | Behavior Technician | 7777 131st St Ste 7, Seminole, FL 33776-4015 | 2020-08-28 |
| 1457976102 | Kathryn Shaw | Technician, Pathology | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2020-06-09 |
| 1811397292 | Kathryn Rose Shaw | Counselor | 830 Ezzard Charles Dr, Cincinnati, OH 45214-2525 | 2014-09-04 |
| 1649515297 | Kathryn Weber Shaw | Surgery | 1150 N 35th Ave Ste 390, Hollywood, FL 33021-5429 | 2012-12-09 |
| 1376824888 | Kathryn Christine Shaw | Pharmacist | 113 Holland Ave, Albany, NY 12208-3410 | 2011-08-30 |
| 1629378476 | Kathryn Shaw | Counselor | 11 Hope Rd, Suite 213, Stafford, VA 22554-7287 | 2010-10-27 |
| 1609029370 | Kathryn Eilizabeth Shaw | Nurse Practitioner | 4540 Sand Point Way Ne Ste 100, Seattle, WA 98105-3941 | 2008-10-28 |
| 1235354010 | Kathryn Shaw | Emergency Medicine | 600 Hospital Dr, Department of Emergency Medicine, Monroe, NC 28112-6000 | 2007-04-16 |
| Street Address |
245 BELLAGIO CIR |
| City | SANFORD |
| State | FL |
| Zip Code | 32771-5001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346402260 | Abegweit Chiropractic Center LLC | Chiropractor | 245 Bellagio Cir, Sanford, FL 32771-5001 | 2008-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134695224 | Sheena L Grayson | Pharmacist | 4942 W State Rd 46, Suite 1014, Sanford, FL 32771 | 2018-10-16 |
| 1699284299 | Christopher Ryan King | Chiropractor | 1026 Old England Loop, Sanford, FL 32771 | 2017-09-26 |
| 1669991345 | Scarlett Sierra | Counselor | 401 W Seminole Blvd, Sanford, FL 32771 | 2017-09-14 |
| 1881132249 | Tracy Shibla | Nurse Practitioner | 2320 Retreat View Cir, Sanford, FL 32771 | 2017-02-06 |
| 1205387206 | Tabitha Boyd | Behavior Technician | 4136 Geranium Ln #102, Sanford, FL 32771 | 2016-10-14 |
| 1104275874 | Jessica Willis | Nurse Anesthetist, Certified Registered | 108 Temple Dr, Sanford, FL 32771 | 2016-06-03 |
| 1013379957 | Bai Medical LLC | Point of Service | 580 Lexington Green Lane, Sanford, FL 32771 | 2016-03-21 |
| 1710347851 | Melissa T Ramsawak | Nurse Practitioner | 4930 East Lake Mary Boulevard, Sanford, FL 32771 | 2016-03-02 |
| 1811394570 | Tanesha Burns | Counselor | 209 San Carlos Ave Ste 111a, Sanford, FL 32771 | 2014-11-24 |
| 1053717322 | Amy Hertz, Dmd and Minta Lopez-torres, Dmd | Dentist | 5030 West Sr 46, Suite 1018, Sanford, FL 32771 | 2014-11-13 |
| Find all providers in zip 32771 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386120004 | Integrative Physical Medicine of Sanford, LLC | Chiropractor | 2676 S Orlando Dr, Sanford, FL 32773-5339 | 2018-07-16 |
| 1053808345 | Tyler Kuntz | Chiropractor | 21 Daigle Ln Ste 103, Sanford, ME 04073-3939 | 2018-04-23 |
| 1326551888 | Casey Hope Lapierre | Chiropractor | 21 Daigle Lane, Sanford, ME 04073 | 2017-11-07 |
| 1699284299 | Christopher Ryan King | Chiropractor | 1026 Old England Loop, Sanford, FL 32771 | 2017-09-26 |
| 1891211470 | Eric Manuel Castrodad Santini | Chiropractor | 820 W Lake Mary Blvd Ste 107, Sanford, FL 32773 | 2017-08-16 |
| 1528310083 | Bernnis A Torres | Chiropractor | 441 E. Airport Boulevard, Sanford, FL 32773 | 2012-10-09 |
| 1023373388 | Ignacio Jose Garcia | Chiropractor | 4932 West S.r. 46, 1006, Sanford, FL 32771 | 2012-07-11 |
| 1134411457 | Sanford Pain and Wellness Center Inc | Chiropractor | 321 N Mangoustine Ave, Sanford, FL 32771-1098 | 2011-05-04 |
| 1245548684 | Sarah Rachael Vleko | Chiropractor | 1081 Wp Ball Blvd, Sanford, FL 32771 | 2010-09-20 |
| 1275849424 | Ivan David Nieves | Chiropractor | 3973 Lone Eagle Pl, Sanford, FL 32771-5807 | 2010-08-25 |
| Find all providers in SANFORD | ||||
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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.