MRS. KELLEY C SHAW (NPI# 1356618912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356618912 |
| Entity Type | Individual |
| Full Name | MRS. KELLEY C SHAW |
| Credential | C.P.N.P. |
| Practice Address |
3400a Old Milton Pkwy Ste 330 Alpharetta GA 30005-4438 |
| Practice Telephone | 7707516111 |
| Practice Fax Number | 7707726099 |
| Mailing Telephone | 7707516111 |
| Mailing Fax Number | 7707726099 |
| Enumeration Date | 2011-11-28 |
| Last Update Date | 2011-11-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | RN171700 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750634226 | Kelley Parker Shaw | Counselor | 200 Mcgee Rd, Anderson, SC 29625-2104 | 2012-10-22 |
| 1780705848 | Kelley A Shaw | Speech-Language Pathologist | 11 Newburg Ave, Catonsville, MD 21228-5108 | 2007-04-03 |
| Street Address |
3400A OLD MILTON PKWY STE 330 |
| City | ALPHARETTA |
| State | GA |
| Zip Code | 30005-4438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922615483 | Amarrah Shatia Guyton | Behavior Technician | 6505 Shiloh Point Road, Alpharetta, GA 30005 | 2020-09-29 |
| 1396351771 | Stephanie Hightower | Behavior Technician | 6505 Shiloh Pt Rd, Alpharetta, GA 30005 | 2020-09-21 |
| 1689130874 | Optima Eye Care LLC | Optometrist | 6365 Halcyon Way, Suite 935, Alpharetta, GA 30005 | 2019-02-13 |
| 1275006652 | Ariel Kaitlyn Petrakovich | Behavioral Analyst | 6505 Shiloh Road, Suite 100, Alpharetta, GA 30005 | 2019-01-08 |
| 1003306515 | Brightview Pharmacy, LLC | Pharmacy | 3333 Old Milton Pkwy Ste 130, Alpharetta, GA 30005 | 2018-05-10 |
| 1316452600 | Kara Marie Arps | Physical Therapist | 855 Yearling Chase, Alpharetta, GA 30005 | 2017-12-08 |
| 1417468307 | Paige Biringer | Physical Therapist | 6495 Shiloh Rd Ste 100, Alpharetta, GA 30005 | 2017-10-18 |
| 1528587169 | Laura Kinney Pearce | Speech-Language Pathologist | 6505 Shiloh Rd #100, Alpharetta, GA 30005 | 2017-09-14 |
| 1629526678 | Samantha Menton | Chiropractor | 11875 Jones Bridge Road, Suite A, Alpharetta, GA 30005 | 2016-09-20 |
| 1427424183 | Trek Medical, LLC | Clinic/Center | 5895 Windward Parkway, Suite 150, Alpharetta, GA 30005 | 2015-08-18 |
| Find all providers in zip 30005 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700498086 | Kira Kosenski | Nurse Practitioner | 1665 Oak Farm Dr Apt 7305, Alpharetta, GA 30005-1527 | 2020-08-19 |
| 1124641964 | Aaron Nakano | Nurse Practitioner | 315 Tree Lake Ct, Alpharetta, GA 30005-6774 | 2020-05-27 |
| 1518512326 | Lauren Michelle Warchalowsky | Nurse Practitioner | 135 Braided Blanket Blf, Alpharetta, GA 30022-7031 | 2019-08-08 |
| 1346761848 | Emily Mower | Nurse Practitioner | 3400 Old Milton Pkwy Ste C330, Alpharetta, GA 30005-3745 | 2017-07-05 |
| 1831639038 | Lydie Rondil Hagen | Nurse Practitioner | 425 Brown Thrasher Ct, Alpharetta, GA 30009-3674 | 2017-03-07 |
| 1275908824 | Cnh1 LLC | Nurse Practitioner | 11675 Rainwater Dr, Suite 250, Alpharetta, GA 30009-8684 | 2015-12-08 |
| 1992175871 | Dana Thomas | Nurse Practitioner | 5755 N Point Pkwy, # 223, Alpharetta, GA 30022-1142 | 2015-10-05 |
| 1295110310 | Kelly Grommersch Lynch | Nurse Practitioner | 3400c Old Milton Pkwy Ste 290, Alpharetta, GA 30005-4438 | 2015-07-30 |
| 1174936306 | Elizabeth Rosengrant | Nurse Practitioner | 3400-c Old Milton Parkway, Suite 465, Alpharetta, GA 30005 | 2014-06-05 |
| 1053749796 | Kafilat Olajmoke Salawu | Nurse Practitioner | 3330 Preston Ridge Rd, Suite 110, Alpharetta, GA 30005-4508 | 2013-10-16 |
| Find all providers in ALPHARETTA | ||||
| City | ALPHARETTA |
| Zip Code | 30005 |
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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.