LESLIE KOZIAR SHAW (NPI# 1386742989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386742989 |
| Entity Type | Individual |
| Full Name | LESLIE KOZIAR SHAW |
| Other Name | LESLIE SUSAN SHAW |
| Credential | RN,FNP-C |
| Practice Address |
3305 101st St Suite 100 Lubbock TX 79423-4076 |
| Mailing Address |
15002 Louisville Ave Lubbock TX 79423-6341 |
| Practice Telephone | 8062813431 |
| Mailing Telephone | 8062813431 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2015-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
589929 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093347916 | Leslie M Shaw | Massage Therapist | 75 Cavalier Blvd Ste 222, Florence, KY 41042-3959 | 2020-02-08 |
| 1689973695 | Leslie Dean Shaw | Chiropractor | 444 Hana Hwy Ste 213, Kahului, HI 96732-2315 | 2011-03-17 |
| 1699958074 | Leslie A Shaw | Physical Therapy Assistant | 14910 Main St, Alachua, FL 32615-8591 | 2007-12-09 |
| 1558762286 | Leslie Shaw | Speech-Language Pathologist | 160 S Hollywood St, Memphis, TN 38112-4801 | 2014-09-12 |
| 1467898288 | Leslie C Shaw | Nurse Practitioner | 3803 Spring St, Mount Pleasant, WI 53405-1660 | 2013-05-20 |
| 1720360746 | Leslie S Shaw | Nurse Practitioner | 360 Route 73 S, Marlton, NJ 08053-2004 | 2011-09-15 |
| 1275783912 | Leslie A Shaw | Dietitian, Registered | 850 Columbia Rd, Suite 200, Westlake, OH 44145-1493 | 2008-09-30 |
| 1750426961 | Leslie A Shaw | Counselor | 411 W Chapel Hill St, Ste. 908, Durham, NC 27701-3616 | 2007-02-21 |
| Street Address |
3305 101ST ST SUITE 100 |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79423-4076 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427674399 | Nicole Lynn Rosteski | Student in an Organized Health Care Education/Training Program | 3101 96th St, Lubbock, TX 79423 | 2020-06-17 |
| 1003399742 | Patricia Marshel Price | Licensed Vocational Nurse | 1520 B 82nd, Lubbock, TX 79423 | 2018-09-10 |
| 1386123115 | Ashley Nichole Avalos | Licensed Vocational Nurse | 19109 County Road 2400, Lubbock, TX 79423 | 2018-08-13 |
| 1407380587 | Karmen Adkins Neal | Counselor | 2574 74th Street, Suite 213, Lubbock, TX 79423 | 2017-04-17 |
| 1275992570 | Wal-mart Stores Texas, LLC | Technician/Technologist | 11415 Quaker Avenue, Lubbock, TX 79423 | 2016-02-15 |
| 1942679535 | Shena Smith | Psychologist | 2034 82nd St Unit 103, Lubbock, TX 79423 | 2015-09-24 |
| 1306263058 | Shelley Lee Ma, Lpc, PC | Counselor | 8200 Nahville, Suite 208, Lubbock, TX 79423 | 2014-03-19 |
| 1275893489 | Stacie Lynn Neffendorf | Speech-Language Pathologist | 3417 73rd St Ste N, Lubbock, TX 79423 | 2012-05-22 |
| 1932467230 | Debbie D Hearn | Point of Service | 8200 Nashville Ave. Suite #202, Lubbock, TX 79423 | 2012-04-25 |
| 1801163555 | Angel Laumbach-kirk | Occupational Therapist | 15304 County Road 2160, Lubbock, TX 79423 | 2011-11-23 |
| Find all providers in zip 79423 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053911859 | Amber Marie Bowman | Nurse Practitioner | 5106 59th St, Lubbock, TX 79414-4312 | 2020-10-29 |
| 1609475219 | Jonathan-michael Aaron Sisson | Nurse Practitioner | 7421 104th St, Lubbock, TX 79424-6079 | 2020-10-23 |
| 1174134753 | Rebecca Stephanie Castillo | Nurse Practitioner | 5528 109th St, Lubbock, TX 79424-7680 | 2020-08-16 |
| 1508487398 | Mark Angelo Padolina | Nurse Practitioner | 1101 Oshkosh Ave, Lubbock, TX 79416-3810 | 2020-05-03 |
| 1841826724 | Leticia Luna Flores Cooper | Nurse Practitioner | 2511 60th St, Lubbock, TX 79413-5641 | 2020-03-23 |
| 1952931693 | Camella Dawn Ladd | Nurse Practitioner | 1307 Martin Luther King Blvd, Lubbock, TX 79403-5329 | 2020-01-22 |
| 1962042598 | Wendy Geraldine Avalos | Nurse Practitioner | 9304 Primrose Ave, Lubbock, TX 79424-6799 | 2020-01-11 |
| 1619516325 | Jessica Krueger | Nurse Practitioner | 5502 103rd St, Lubbock, TX 79424-6417 | 2019-12-27 |
| 1417596438 | Alicia Michelle Powell | Nurse Practitioner | 6102 82nd St Ste 14, Lubbock, TX 79424-0840 | 2019-12-23 |
| 1376181537 | Ashley Nicole White | Nurse Practitioner | 5614 100th St, Lubbock, TX 79424-6268 | 2019-12-18 |
| Find all providers in LUBBOCK | ||||
Please comment or provide details below to improve the information on LESLIE KOZIAR SHAW.
| 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.