MR. BRIAN KENNETH SHAW (NPI# 1255662508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255662508 |
| Entity Type | Individual |
| Full Name | MR. BRIAN KENNETH SHAW |
| Credential | MSW, LCSW, LMHP |
| Practice Address |
3685 N 129th St Omaha NE 68164-5211 |
| Mailing Address |
988102 Nebraska Medical Ctr Omaha NE 68198-8102 |
| Practice Telephone | 4025953993 |
| Practice Fax Number | 4025951132 |
| Enumeration Date | 2010-01-27 |
| Last Update Date | 2016-12-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
1275 | NE | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
2826 | NE | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
1142 | NE | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285295790 | Brian Shaw | Behavior Technician | 515 E 700 S Ste 2a, Slc, UT 84102-3307 | 2019-06-25 |
| 1073930525 | Brian Thomas Shaw | Registered Nurse | 248 Newton Rd, Rochester, NY 14626-2340 | 2014-03-22 |
| 1992331961 | Brian Shaw | Student in an Organized Health Care Education/Training Program | 4733 W Sunset Blvd Fl 3, Los Angeles, CA 90027-6021 | 2020-03-20 |
| 1124653621 | Brian Avery Shaw | Pharmacist | 890 Richmond Plz, Richmond, KY 40475-2564 | 2020-03-05 |
| 1457997827 | Brian Shaw | Physical Therapist | 1334 Terry Ave, Seattle, WA 98101-2747 | 2019-11-20 |
| 1134787724 | Brian Bor-uei Shaw | Physical Therapist | 3292 E Willow St, Signal Hill, CA 90755-2309 | 2019-05-30 |
| 1023540986 | Brian Ishum Shaw | Student in an Organized Health Care Education/Training Program | 2301 Erwin Rd, Durham, NC 27705-4699 | 2017-03-30 |
| 1518321819 | Brian Shaw | Internal Medicine | 234 Goodman St, Ml 0781, Cincinnati, OH 45219-2364 | 2016-04-12 |
| 1124366331 | Brian Shaw | Occupational Therapist | 2025 E Egbert St, Brighton, CO 80601-2517 | 2013-01-22 |
| 1417238478 | Brian Shaw | Pharmacist | 615 W Main St, Norman, OK 73069-7062 | 2011-09-05 |
| Street Address |
3685 N 129TH ST |
| City | OMAHA |
| State | NE |
| Zip Code | 68164-5211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427240290 | Heather L. Cook-mikkelsen | Nurse Practitioner | 3685 N 129th St, Omaha, NE 68164-5211 | 2007-08-15 |
| 1235659558 | Andrew Camamo | Internal Medicine | 3685 N 129th St, Omaha, NE 68164-5211 | 2017-06-27 |
| 1235659442 | Brandon Miller | Internal Medicine | 3685 N 129th St, Omaha, NE 68164-5211 | 2017-06-20 |
| 1164973913 | Suzanne Myers | Counselor | 3685 N 129th St, Omaha, NE 68164-5211 | 2016-10-17 |
| 1225489040 | Angelica Yamada | Family Medicine | 3685 N 129th St, Omaha, NE 68164-5211 | 2016-06-22 |
| 1285010439 | Janelle R Vogler | Physician Assistant | 3685 N 129th St, Omaha, NE 68164-5211 | 2015-08-10 |
| 1558671792 | Russell James Francis | Nurse Practitioner | 3685 N 129th St, Omaha, NE 68164-5211 | 2010-10-20 |
| 1255588398 | Megan Mcguffey Willet | Family Medicine | 3685 N 129th St, Omaha, NE 68164-5211 | 2008-08-20 |
| 1669649646 | Nicole Alexis Goliber | Physician Assistant | 3685 N 129th St, Omaha, NE 68164-5211 | 2008-05-09 |
| 1366628315 | Erica J Estep | Physician Assistant | 3685 N 129th St, Omaha, NE 68164 | 2008-01-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245891035 | Kind Heart Caregivers | Home Health | 10840 Cottonwood Lane Apt 39, 10840 Cottonwood Lane Apt 39, Omaha, NE 68164 | 2019-06-24 |
| 1174082622 | Dana Thiele | Occupational Therapist | 11808 Grant Street, Suite 100, Omaha, NE 68164 | 2019-03-14 |
| 1346709896 | Kelsey Melsheimer | Occupational Therapist | 11808 Grant St Suite 100, Omaha, NE 68164 | 2019-03-14 |
| 1326579202 | Regina Marie Brant | Registered Nurse | 11422 Kansas Circle, Omaha, NE 68164 | 2017-03-23 |
| 1174984140 | Afoua Badjaglana | Physical Therapy Assistant | 3526 N 112th Plz Apt 6, Omaha, NE 68164 | 2016-03-17 |
| 1679966543 | Paige Latino | Physical Therapist | 11808 Grant St, Suite 100, Omaha, NE 68164 | 2015-03-16 |
| 1053716753 | John Bigando | Pharmacist | 13250 W. Maple Road, Omaha, NE 68164 | 2014-10-24 |
| 1063813582 | Yusuke Tanaka | Specialist/Technologist | 10857 Arlington Pz, #1520, Omaha, NE 68164 | 2014-09-16 |
| 1083015515 | Hyunjae Jeon | Specialist/Technologist | 10857 Arlington Plaza, Apt. 1520, Omaha, NE 68164 | 2014-09-16 |
| 1942630389 | Stephanie Nicole Rupp | Dietitian, Registered | 10808 Fort Street, Omaha, NE 68164 | 2013-11-21 |
| Find all providers in zip 68164 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164023321 | Omaha Mental Health LLC | Counselor | 12305 Gold St Ste 13, Omaha, NE 68144-2760 | 2020-11-04 |
| 1275149262 | Vervech | Counselor | 11422 Miracle Hills Drive, Suite 401, Omaha, NE 68154 | 2020-09-16 |
| 1497368476 | Jennifer Cherney | Counselor | 9218 Bedford Ave, Omaha, NE 68134-4726 | 2020-08-28 |
| 1356959530 | Wonderful Counselor | Counselor | 1524 Cuming St Apt 309, Omaha, NE 68102-4435 | 2020-07-14 |
| 1295357069 | Tracy N Gilman | Counselor | 42nd and Dewey St, Omaha, NE 68198-1023 | 2020-05-14 |
| 1609498609 | Moreno Therapy, PC, LLC | Counselor | 2620 N 132nd Ave, Omaha, NE 68164-4023 | 2020-05-12 |
| 1992334494 | Benjamin Daniel Wright | Counselor | 6206 S 37th St, Omaha, NE 68107-3840 | 2020-04-06 |
| 1558995662 | Cord Where Science Meets Connection LLC | Counselor | 10826 Old Mill Rd Ste 103a, Omaha, NE 68154-2660 | 2020-02-27 |
| 1124652656 | Be Kind Counseling LLC | Counselor | 4917 Underwood Ave # 3, Omaha, NE 68132-2421 | 2020-02-24 |
| 1326682592 | Andrea Dawn Degner | Counselor | 11580 W. Dodge Frontage Rd, Omaha, NE 68154 | 2019-10-31 |
| Find all providers in OMAHA | ||||
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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.