MRS. NICOLE LEVARSETTE SHAW (NPI# 1316277593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316277593 |
| Entity Type | Individual |
| Full Name | MRS. NICOLE LEVARSETTE SHAW |
| Other Name | MISS NICOLE LEVARSETTE SIMMONS |
| Practice Address |
1602 Princeton Ln Augusta GA 30904-5070 |
| Practice Telephone | 7068773194 |
| Mailing Telephone | 7068773194 |
| Enumeration Date | 2010-01-11 |
| Last Update Date | 2010-01-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183700000X | Pharmacy Technician | 470101090265145 | GA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457701005 | Nicole M Shaw | Physical Therapist | 3100 Colony Dr, Alliance, OH 44601-5244 | 2016-06-14 |
| 1356989966 | Nicole Danielle Shaw | Behavioral Analyst | 1400 Fox Hill Rd Ste 100, State College, PA 16803-1877 | 2019-12-13 |
| 1295297497 | Nicole Shaw | Psychiatry & Neurology | 5841 S Maryland Ave # Mc1052, Chicago, IL 60637-1443 | 2019-04-05 |
| 1023572997 | Nicole Shaw | Speech-Language Pathologist | 4500 E Cherry Creek South Dr Ste 710, Denver, CO 80246-1534 | 2019-01-25 |
| 1386151850 | Nicole Shaw | Physical Therapist | 185 Harrison Ave, Boston, MA 02111-1804 | 2018-01-05 |
| 1861910549 | Nicole Shaw | Counselor | 2450 E Fort Union Blvd, Cottonwood Heights, UT 84121-3337 | 2017-09-01 |
| 1801253703 | Nicole Shaw | Counselor | 847 Ne 19th Ave, Portland, OR 97232 | 2016-01-22 |
| 1346614138 | Nicole B Shaw | Nurse Practitioner | 11141 Parkview Plaza Dr Ste 305, Fort Wayne, IN 46845-1715 | 2015-11-17 |
| 1285079020 | Nicole Shaw | Family Medicine | 1890 Al Highway 157 Ste 300, Cullman, AL 35058-0689 | 2013-05-07 |
| 1568704039 | Nicole Leanne Shaw | Case Manager/Care Coordinator | 2001 The Alameda, San Jose, CA 95126-1136 | 2013-03-22 |
| Street Address |
1602 PRINCETON LN |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30904-5070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518423706 | Lawren Murray Tachias | Registered Nurse | 950 15th Street Downtown, Augusta, GA 30904 | 2019-02-13 |
| 1457851842 | Heba Ahmed | Pharmacist | 912 15th Street, Augusta, GA 30904 | 2018-02-13 |
| 1124552690 | Jenny Liles | Student in an Organized Health Care Education/Training Program | 1004 Chafee Ave, Augusta, GA 30904 | 2017-04-11 |
| 1932640836 | Claudia Crawford | Student in an Organized Health Care Education/Training Program | 2624 Oakland Ave., Augusta, GA 30904 | 2017-03-13 |
| 1801240528 | F. Marion Durst IIi Dmd PC | Clinic/Center | 2325 Washington Road, Augusta, GA 30904 | 2016-04-19 |
| 1689031296 | Teresa Maria Martin | Counselor | 1e-148, Charlie Norwood Vamc One Freedom Way, Augusta, GA 30904 | 2016-01-27 |
| 1598122269 | Jillian Wilkerson | Counselor | Charlie Norwood Veteran Affairs One Freedom Way, Substance Use Recovery Clinic, Augusta, GA 30904 | 2016-01-26 |
| 1760855241 | Chase King | Occupational Therapist | 1735 Berkeley Rd, Augusta, GA 30904 | 2015-11-05 |
| 1962832246 | April Underwood Fox | Physician Assistant | 1417 Pendleton Rd, Augusta, GA 30904 | 2013-11-22 |
| 1861734378 | John Graham Theisen | Obstetrics & Gynecology | 810 Chafee Avenue, Augusta, GA 30904 | 2013-03-22 |
| Find all providers in zip 30904 | ||||
| Taxonomy Code | 183700000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacy Technician |
| A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |
| Notes: Source: Pharmacy Technician Certification Board, www.ptcb.org [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568060911 | Erica J Severson | Pharmacy Technician | 509 State St, Augusta, KS 67010-1107 | 2020-10-16 |
| 1639669054 | Tanya Vivian Hooglugt | Pharmacy Technician | 1510 Ohio St, Augusta, KS 67010-2157 | 2018-05-10 |
| 1780020511 | Michael Freeman | Pharmacy Technician | 1 Va Ctr, Augusta, ME 04330-6719 | 2013-05-20 |
| 1972806982 | Michelle Lee Lemieux | Pharmacy Technician | 1 Va Ctr, Augusta, ME 04330-6719 | 2010-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326647199 | Breiane Jackson | Pharmacy Technician | 2790 Cobb Pkwy Nw, Kennesaw, GA 30152-3455 | 2020-10-22 |
| 1730791732 | Anita H Smith | Pharmacy Technician | 286 Gibbs St, Homerville, GA 31634-2538 | 2020-08-20 |
| 1134730641 | Meghan Xanthe Baker | Pharmacy Technician | 3530 Wellington Ter, Rex, GA 30273-2361 | 2020-08-10 |
| 1669081352 | Steve Lavon Bell | Pharmacy Technician | 1608 Battlecreek Village Dr, Jonesboro, GA 30236-8530 | 2020-07-28 |
| 1235747650 | Marquitta Becker | Pharmacy Technician | 2917 Red Leaf Ct, Conyers, GA 30094-8028 | 2020-07-22 |
| 1922620228 | Jennifer Lamb | Pharmacy Technician | 175 Pebble Ridge Dr, Covington, GA 30014-8456 | 2020-05-11 |
| 1164073334 | Ebony Jackson | Pharmacy Technician | 145 Emanuel Farm Rd Lot 77, Brunswick, GA 31525-2469 | 2019-09-27 |
| 1023578887 | Kimber Hardy | Pharmacy Technician | 1547 Loco Church Rd, Lincolnton, GA 30817 | 2019-03-20 |
| 1700355989 | Renita D Lofton | Pharmacy Technician | 1371 Kimberly Way Sw Apt 7203, Atlanta, GA 30331-4643 | 2018-11-17 |
| 1083198840 | Michele Eilleen Dews | Pharmacy Technician | 4457 Township Dr # 12a, Oakwood, GA 30566-3299 | 2018-09-18 |
| Find all providers with the same taxonomy | ||||
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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.