JEREMY MICHAEL SHAW (NPI# 1457995771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457995771 |
| Entity Type | Individual |
| Full Name | JEREMY MICHAEL SHAW |
| Practice Address |
145 Main St Durham NH 03824-3572 |
| Mailing Address |
9 Patriot Dr East Hampstead NH 03826-8208 |
| Practice Telephone | 6038623892 |
| Mailing Telephone | 6033251072 |
| Enumeration Date | 2019-10-30 |
| Last Update Date | 2019-10-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154526192 | Jeremy Shaw | Ophthalmology | Duke Eye Center Dumc 3802, Durham, NC 27710-0001 | 2007-06-19 |
| 1770859654 | Jeremy Dewitt Shaw | Orthopaedic Surgery | 500 Parnassus Ave, Mu 320, San Francisco, CA 94143-2203 | 2012-03-26 |
| Street Address |
145 MAIN ST |
| City | DURHAM |
| State | NH |
| Zip Code | 03824-3572 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093360448 | Heather Maria Morrison | Specialist/Technologist | 145 Main St, Durham, NH 03824-3572 | 2019-08-02 |
| 1528569159 | Kallie Noel Hannon | Specialist/Technologist | 145 Main St, Durham, NH 03824-3572 | 2018-02-28 |
| 1063912103 | Morganne Marie Rothweiler | Specialist/Technologist | 145 Main St, Durham, NH 03824-3572 | 2018-02-15 |
| 1780184820 | Hannah Lynn Berg | Specialist/Technologist | 145 Main St, Durham, NH 03824-3572 | 2018-02-15 |
| 1659870707 | Margaret E Lesnikoski | Specialist/Technologist | 145 Main St, Durham, NH 03824-3572 | 2018-02-05 |
| 1154820348 | Michelle M Mallett | Specialist/Technologist | 145 Main St, Durham, NH 03824-3572 | 2018-02-02 |
| 1437658739 | Jonathan Hatch Dana | Specialist/Technologist | 145 Main St, Durham, NH 03824-3572 | 2018-02-02 |
| 1528582293 | Madeline E Zimmermann | Specialist/Technologist | 145 Main St, Durham, NH 03824-3572 | 2017-08-03 |
| 1801327887 | Keli Poirier | Specialist/Technologist | 145 Main St, Durham, NH 03824-3572 | 2017-03-22 |
| 1225165707 | Jenna M Cherenzia | Specialist/Technologist | 145 Main St, University of New Hampshire, Durham, NH 03824-3572 | 2007-02-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699170191 | Allegiant Physical Therapy LLC | Physical Therapist | 7b Mill Road, Durahm, NH 03824 | 2014-10-27 |
| 1639443872 | Joan Hastings Glutting | Psychologist | 8 Palmer Drive, Durham, NH 03824 | 2012-03-06 |
| 1851598197 | Kate Elizabeth Stimmell | Occupational Therapist | 312 Morrill Hall, 180 Main Street, University of New Hampshire, Durham, NH 03824 | 2007-06-29 |
| 1366659443 | C. Patricia Hanley | Psychologist | 13 Jenkins Ct #230 A, Durham, NH 03824 | 2007-05-17 |
| 1245445642 | Oyster River Cooperative School District | Local Education Agency (LEA) | 36 Coe Drive, Durham, NH 03824 | 2007-05-11 |
| 1477765956 | Randal George Heller | Pharmacist | 170 Tolend Rd., Barrington, NH 03824 | 2007-05-04 |
| 1073652228 | Carollyn Federico | Social Worker | 20 Madbury Road, Durham, NH 03824 | 2007-02-05 |
| 1568513976 | Suellen O Drake | Nurse Practitioner | 13 Jenkins Ct Ste 247, Durham, NH 03824 | 2007-01-13 |
| 1265531537 | Maxi Drug North Inc | Durable Medical Equipment & Medical Supplies | 5 Mill Road, Unit G, Durham, NH 03824 | 2006-09-22 |
| 1003911082 | Wesley A Merritt | Chiropractor | 13 Jenkins Ct, Durham, NH 03824 | 2006-09-14 |
| Find all providers in zip 03824 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770199804 | Sandra Jean Evans | Specialist/Technologist | 405 Farintosh Valley Ln, Durham, NC 27703-8116 | 2020-09-23 |
| 1629688858 | Napoelon Manley | Specialist/Technologist | 4212 Lady Slipper Ln, Durham, NC 27704-6403 | 2020-08-03 |
| 1194346080 | Kristina Hall | Specialist/Technologist | 110 Whitford Dr Murray Athletic Training Room, Durham, NC 27708-0001 | 2020-05-01 |
| 1760018113 | Devin Demyanovich | Specialist/Technologist | 110 Whitford Drive Wd Murray Building Rm 212, Durham, NC 27708-0001 | 2020-03-18 |
| 1407320443 | Erin Paige Lawson | Specialist/Technologist | 17 Barnsdale Ct, Durham, NC 27713-8155 | 2019-01-12 |
| 1154894269 | Theodore Lawson Queen Jr. | Specialist/Technologist | 518 Darby Glen Ln, Durham, NC 27713-9427 | 2019-01-10 |
| 1225536600 | Samantha Anne Champa | Specialist/Technologist | 83 Main St # 3516, Durham, NH 03824-2538 | 2018-01-31 |
| 1922537471 | Stephanie Natasha Davis | Specialist/Technologist | 1216 Kent St, Durham, NC 27707-1236 | 2017-06-08 |
| 1922535970 | Julia Dawn Mcnabb | Specialist/Technologist | Po Box 19705, Durham, NC 27707-0023 | 2017-05-20 |
| 1942740956 | Aleah Kirsch | Specialist/Technologist | 110 Whitford Dr, Durham, NC 27708-9982 | 2017-02-24 |
| Find all providers in DURHAM | ||||
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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.