MS. AUDREY LYNN SHAW (NPI# 1649607284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649607284 |
| Entity Type | Individual |
| Full Name | MS. AUDREY LYNN SHAW |
| Credential | PA-C |
| Practice Address |
1331 E Wyoming Ave Philadelphia PA 19124-3808 |
| Practice Telephone | 2155376659 |
| Enumeration Date | 2013-09-27 |
| Last Update Date | 2015-03-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | OA003112 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
MA056344 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790103224 | Audrey Shaw | Counselor | 403 Greenwood Ave, Clarksville, TN 37040-3711 | 2014-04-01 |
| 1861032609 | Audrey B Shaw | Counselor | 8104 Seaton Pl, Montgomery, AL 36116-7204 | 2020-01-09 |
| Street Address |
1331 E WYOMING AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19124-3808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154893303 | Jacqueline Sweeney | Nurse Practitioner | 1331 E Wyoming Ave, Philadelphia, PA 19124-3808 | 2018-12-28 |
| 1477025096 | Renee Pieroth | Dietitian, Registered | 1331 E Wyoming Ave, Philadelphia, PA 19124-3808 | 2018-12-20 |
| 1184109399 | Stephanie Maria Einstein | Nurse Practitioner | 1331 E Wyoming Ave, Philadelphia, PA 19124-3808 | 2018-10-03 |
| 1346735149 | Kamorin Samson | Dietitian, Registered | 1331 E Wyoming Ave, Philadelphia, PA 19124-3808 | 2018-06-25 |
| 1962802819 | Jennifer Lynn Jones | Physician Assistant | 1331 E Wyoming Ave, Philadelphia, PA 19124-3808 | 2014-08-28 |
| 1427481209 | Rocco Michael Bianco IIi | Registered Nurse | 1331 E Wyoming Ave, Philadelphia, PA 19124-3808 | 2013-08-15 |
| 1912349556 | Catherine Kirby Lee | Registered Nurse | 1331 E Wyoming Ave, Philadelphia, PA 19124-3808 | 2013-07-24 |
| 1932547742 | Xiao Yang | Internal Medicine | 1331 E Wyoming Ave, Philadelphia, PA 19124-3808 | 2013-06-13 |
| 1083052435 | Carol F Roth | Social Worker | 1331 E Wyoming Ave, Philadelphia, PA 19124-3808 | 2013-06-07 |
| 1851739361 | Margaret A Healy | Social Worker | 1331 E Wyoming Ave, Philadelphia, PA 19124-3808 | 2013-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831749308 | William Mark Hanna Sr. | Pharmacist | 4600 Rooselvelt Blvd Bldg G, Philadelphia, PA 19124 | 2019-09-17 |
| 1881256451 | Medical Discovery Systems, LLC | Durable Medical Equipment & Medical Supplies | 5425 Oxford Ave., 5425 Oxford Ave. Suite (3 A), Philadelphia, PA 19124 | 2019-07-03 |
| 1548731391 | Sierra Pinkney | Registered Nurse | 1615 Granite St, Philadelphia, PA 19124 | 2018-12-05 |
| 1922507987 | Xavier Sergio Henriquez | Counselor | 4510 Frankford Avenue 2nd Floor, Philadelphia, PA 19124 | 2018-02-06 |
| 1558881581 | Isabel Cristina Castillo Hernandez | Pediatrics | 4500-10, Apt 201b, Philadelphia, PA 19124 | 2017-06-21 |
| 1952843732 | Patrick Grugan | Social Worker | Roosevelt Boulevard & Adams Avenue, Philadelphia, PA 19124 | 2016-11-10 |
| 1811340482 | Katarzyna Liwski | Psychiatry & Neurology | 4641 Roosevelt Boulevard, E212, Drexel University College of Medicine Friends Hospital, Philadelphia, PA 19124 | 2016-07-19 |
| 1851769327 | Aleka Kostouros | Social Worker | Roosevelt Blvd & Adams Ave, Northeast Community Center for Behavioral Health, Philadelphia, PA 19124 | 2015-09-14 |
| 1407230378 | Sara Bachani | Psychiatry & Neurology | 4641 Roosevelt Blvd, Friends Hospital, Room 231, Philadelphia, PA 19124 | 2015-07-10 |
| 1215327051 | Alyssa Renee Kirk | Counselor | 4500-10 Frankford Ave, 2nd Floor, Philadelphia, PA 19124 | 2015-02-02 |
| Find all providers in zip 19124 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051763 | Molly Catherine Peters | Physician Assistant | 4338 Boone St, Philadelphia, PA 19128-4901 | 2020-10-19 |
| 1356951024 | Murielle M Boursiquot | Physician Assistant | 7901 Henry Ave Apt G302, Philadelphia, PA 19128-3072 | 2020-08-06 |
| 1134757156 | Julie Hutchison | Physician Assistant | 2922 N 5th St, Philadelphia, PA 19133-2801 | 2020-03-27 |
| 1174155857 | Rebecca Volpe | Physician Assistant | 738 Longshore Ave, Philadelphia, PA 19111-4325 | 2020-02-10 |
| 1306308879 | Ria Raju | Physician Assistant | 7909 Lawndale Ave, Philadelphia, PA 19111-2652 | 2019-04-03 |
| 1386101400 | Ashley Thomas | Physician Assistant | 9331 Old Bustleton Ave Ste 100a, Philadelphia, PA 19115 | 2019-02-25 |
| 1487119186 | Shelby Elizabeth Ginsburg | Physician Assistant | 1200 W Tabor Rd Fl Bl4, Philadelphia, PA 19141-3019 | 2019-02-06 |
| 1346720059 | Noelle Elizabeth Mullanaphy | Physician Assistant | 4031 Sheffield St, Philadelphia, PA 19136-3101 | 2018-08-21 |
| 1750860490 | Anastasiya Khlypnych | Physician Assistant | 111 S. 11th Street, Suite 2170, Gibbon Bldg Suite 6210, Philadelphia, PA 19107 | 2018-08-13 |
| 1912409533 | Lauren Joy Barton | Physician Assistant | 5401 N Broad St Ste 363, Philadelphia, PA 19141 | 2018-02-28 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19124 |
Please comment or provide details below to improve the information on MS. AUDREY LYNN 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.