MELLISSA KAY SHAW (NPI# 1659690436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659690436 |
| Entity Type | Individual |
| Full Name | MELLISSA KAY SHAW |
| Credential | LPN |
| Practice Address |
900 Buffalo St Johnson City TN 37604-6720 |
| Mailing Address |
1167 Spratlin Park Dr Gray TN 37615-6205 |
| Practice Telephone | 4232324130 |
| Practice Fax Number | 4234673644 |
| Mailing Telephone | 4234673600 |
| Mailing Fax Number | 4234673644 |
| Enumeration Date | 2010-05-19 |
| Last Update Date | 2010-05-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 75455 | TN | Nursing Service Providers |
| Street Address |
900 BUFFALO ST |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37604-6720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083707913 | Keener Fryde Huneycutt | Counselor | 900 Buffalo St, Magnolia Ridge Treatment Center, Johnson City, TN 37604 | 2006-10-02 |
| 1194155903 | Shauna Gregory | Case Manager/Care Coordinator | 900 Buffalo St, Johnson City, TN 37604-6720 | 2013-11-14 |
| 1831525229 | Monica Renee Tiller | Case Manager/Care Coordinator | 900 Buffalo St, Johnson City, TN 37604-6720 | 2013-09-18 |
| 1457783151 | Erica Walker | Case Manager/Care Coordinator | 900 Buffalo St, Johnson City, TN 37604-6720 | 2013-08-05 |
| 1427494145 | John Brad Davis | Counselor | 900 Buffalo St, Johnson City, TN 37604-6720 | 2013-05-21 |
| 1477893162 | Sarahfaye Stanley | Case Manager/Care Coordinator | 900 Buffalo St, Johnson City, TN 37604-6720 | 2013-02-18 |
| 1033458583 | Kimberly A Franklin | Case Manager/Care Coordinator | 900 Buffalo St, Johnson City, TN 37604-6720 | 2013-02-04 |
| 1134464118 | Crystal Lee Hill | Licensed Practical Nurse | 900 Buffalo St, Johnson City, TN 37604-6720 | 2012-12-03 |
| 1114273927 | Rene Nolen Huntsinger | Counselor | 900 Buffalo St, Johnson City, TN 37604-6720 | 2012-07-30 |
| 1992086961 | Travis Dean Bailey | Case Manager/Care Coordinator | 900 Buffalo St, Johnson City, TN 37604-6720 | 2011-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560707 | Brant Logan Nickens | Physical Therapist | 809 Lamont St and Veterans Way, Johnson City, TN 37604 | 2020-08-26 |
| 1952911562 | David Sandlin Hobbs | Pharmacist | Lamont St &, Veterans Way, Johnson City, Tn 37604, Johnson City, TN 37604 | 2020-08-07 |
| 1528688272 | Whitney Marie Ward | Physical Therapist | Lamont Street and Veterans Way, Johnson City, TN 37604 | 2020-04-23 |
| 1861050015 | Akesh Thomas | Student in an Organized Health Care Education/Training Program | Johnson City Medical Center, 400 N State of Franklin Rd, Johnson City, TN 37604 | 2019-06-03 |
| 1336629021 | Medical Education Assistance Corporation | Clinic/Center | 820 W Market St, Johnson City, TN 37604 | 2018-08-21 |
| 1093208951 | Lauren Tiffany Hayden | Physician Assistant | 403 N State of Franklin Rd Woodridge Hospital, Johnson City, TN 37604 | 2018-06-14 |
| 1174014450 | Jerica Moore | Specialist/Technologist | 1041 Hamiltion Place Dr., Johnson City, TN 37604 | 2018-05-23 |
| 1053809442 | Syed Ghazanfar Hasan | Student in an Organized Health Care Education/Training Program | Etsu Psychiatry and Behavioral Sciences Department, 1276 Gilbreath Dr., Johnson City, TN 37604 | 2018-05-01 |
| 1699262485 | Sonia Kumari Oad | Student in an Organized Health Care Education/Training Program | 178 West Maple St, Johnson City, TN 37604 | 2018-04-17 |
| 1821519364 | Mahmoud El Iskandarani | Internal Medicine | 1084 W Oakland Avenue, 748, Johnson City, TN 37604 | 2017-07-06 |
| Find all providers in zip 37604 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497395818 | Stephanie Marie Maher | Licensed Practical Nurse | 107 N Baldwin St, Johnson City, NY 13790-1431 | 2020-01-14 |
| 1336592161 | Monica Hakeem | Licensed Practical Nurse | 220 Arthur Ave, Johnson City, NY 13790-1100 | 2016-07-17 |
| 1043618325 | Emily Mccabe | Licensed Practical Nurse | 42 Grand Ave Apt #301, Johnson City, NY 13905-0001 | 2014-12-18 |
| 1144662628 | Courtney Evelyn Bean | Licensed Practical Nurse | 1319 Bell Ridge Rd, #502, Johnson City, TN 37601-8014 | 2013-07-24 |
| 1982971396 | Elizabeth M Harris | Licensed Practical Nurse | 260 Harry L Dr, Johnson City, NY 13790-1493 | 2011-11-30 |
| 1124286950 | Toni Renee Dugger | Licensed Practical Nurse | 2005 Williamsburg Sq, Johnson City, TN 37604-7765 | 2008-05-29 |
| 1174090534 | Debbie Jean Rambaud | Licensed Practical Nurse | 210 Quarry Rd, Johnson City, TN 37601-7580 | 2018-10-24 |
| 1144700337 | Marcus Antonio (tony) Chambers | Licensed Practical Nurse | 109 W Watauga Ave, Johnson City, TN 37604-5668 | 2018-08-16 |
| 1487154019 | Amanda F Boone | Licensed Practical Nurse | 219 Princeton Rd, Johnson City, TN 37601-2052 | 2018-02-20 |
| 1821509001 | Sherrie Sue Greer | Licensed Practical Nurse | 219 Princeton Rd, Johnson City, TN 37601-2052 | 2017-10-16 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 37604 |
Please comment or provide details below to improve the information on MELLISSA KAY 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.