JOURDINAE SHAW (NPI# 1356845630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356845630 |
| Entity Type | Individual |
| Full Name | JOURDINAE SHAW |
| Practice Address |
2015 Pioneer Ct Ste B San Mateo CA 94403-1736 |
| Mailing Address |
303 Crocker Ave Daly City CA 94014-1115 |
| Practice Telephone | 6503486603 |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2018-03-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CA | Behavioral Health & Social Service Providers |
| Street Address |
2015 PIONEER CT STE B |
| City | SAN MATEO |
| State | CA |
| Zip Code | 94403-1736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346392552 | Kris Gamayo | Marriage & Family Therapist | 2015 Pioneer Ct Ste B, San Mateo, CA 94403-1736 | 2007-01-17 |
| 1326691189 | Alyssa Leeann Schultz | Marriage & Family Therapist | 2015 Pioneer Ct Ste B, San Mateo, CA 94403 | 2019-07-22 |
| 1124681986 | Graham Livesay | Counselor | 2015 Pioneer Ct Ste B, San Mateo, CA 94403-1736 | 2019-04-17 |
| 1225515935 | Rodrigo Xavier Caldera | Marriage & Family Therapist | 2015 Pioneer Ct Ste B, San Mateo, CA 94403-1736 | 2018-07-25 |
| 1477042471 | Melissa Larcher | Counselor | 2015 Pioneer Ct Ste B, San Mateo, CA 94403-1736 | 2018-05-04 |
| 1376050476 | Jan Gabrielle Galinanes | Marriage & Family Therapist | 2015 Pioneer Ct Ste B, San Mateo, CA 94403-1736 | 2018-01-10 |
| 1720592108 | Emily A Sanchez | Counselor | 2015 Pioneer Ct Ste B, San Mateo, CA 94403-1736 | 2017-11-21 |
| 1598278244 | Colette Perea Bazzani | Counselor | 2015 Pioneer Ct Ste B, San Mateo, CA 94403-1736 | 2017-11-15 |
| 1033572367 | Anna Hernandez | Counselor | 2015 Pioneer Ct Ste B, San Mateo, CA 94403-1736 | 2016-04-04 |
| 1255792669 | Tatiana M Grelli | Counselor | 2015 Pioneer Ct Ste B, San Mateo, CA 94403-1736 | 2016-03-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710520903 | Happy Enerqi LLC | Acupuncturist | 5 43rd Ave, San Mateo, CA 94403 | 2019-10-21 |
| 1740840396 | Vincent Wing Ching Fong | Marriage & Family Therapist | 2600 S. El Camino Real Suite 200, San Mateo, CA 94403 | 2019-06-17 |
| 1861056426 | Denise Gaytan | Licensed Vocational Nurse | 2600 El Camino, San Mateo, CA 94403 | 2019-04-29 |
| 1134686991 | Connie Markoff | Counselor | 3827 Fernwood St, San Mateo, CA 94403 | 2019-02-27 |
| 1467965392 | Happyqi Inc | Acupuncturist | 5 43rd Ave., San Mateo, CA 94403 | 2017-11-14 |
| 1710403092 | John Luu | Chiropractor | 3153 Campus Dr, San Mateo, CA 94403 | 2017-08-17 |
| 1477009033 | Latifunisa Lilani | Community Health Worker | 2600 El Camino Real, San Mateo, CA 94403 | 2016-09-01 |
| 1881029874 | Juan Carlos Friesen | Licensed Vocational Nurse | 2600 S. El Camino, Suite #200, San Mateo, CA 94403 | 2013-09-09 |
| 1619300423 | Emily Rodda | Nurse Practitioner | 222 W. 39th Avenue, San Mateo Medical Center - Pediatric Clinic, San Mateo, CA 94403 | 2013-08-15 |
| 1619309549 | Maria Lucila Echeverria-bustios | Counselor | 1911 Ivy St., San Mateo, CA 94403 | 2013-08-02 |
| Find all providers in zip 94403 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245898196 | Jennifer Ranae Werner | Counselor | 3124 La Selva Cir Apt 8, San Mateo, CA 94403-2141 | 2019-06-04 |
| 1841751922 | Courtney Rose Cordova | Counselor | 29 N Humboldt St, San Mateo, CA 94401-2923 | 2019-03-29 |
| 1154897742 | Daniel George Vanisi | Counselor | 1752 Cottage Grove Ave, San Mateo, CA 94401-3114 | 2018-10-22 |
| 1114324944 | Sylvan P Selig IIi | Counselor | 1213 S Claremont St, San Mateo, CA 94402 | 2014-11-21 |
| 1447683115 | Roxanne J. Vogt | Counselor | 15 9th Avenue, San Mateo, CA 94401 | 2013-08-16 |
| 1720349731 | Terrell Jason Fortune | Counselor | 720 S. B St., San Mateo, CA 94401 | 2012-06-06 |
| 1750642195 | Randy G Suttles | Counselor | 720 Ss St, San Mateo, CA 94401-4245 | 2012-06-01 |
| 1457612996 | Robert Walter Szopa | Counselor | 720 S. B St, San Mateo, CA 94401 | 2012-05-31 |
| 1245598861 | Justin Lacson | Counselor | 2251 Palm Avenue, San Mateo, CA 94401 | 2012-05-02 |
| 1518255694 | Kenneth Allen Robinson | Counselor | 720 So. B Street, San Mateo, CA 94401 | 2011-07-11 |
| Find all providers in SAN MATEO | ||||
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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.