DEBORAH L SHAW (NPI# 1679715908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679715908 |
| Entity Type | Individual |
| Full Name | DEBORAH L SHAW |
| Credential | LMBT |
| Practice Address |
1608 Wellington Ave Wilmington NC 28401-7757 |
| Mailing Address |
1980 Elsie Circle Leland NC 28451 |
| Practice Telephone | 9103133366 |
| Practice Fax Number | 9103133377 |
| Mailing Telephone | 9105409897 |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2009-04-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 5206 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356550867 | Deborah L. Shaw | Physical Therapy Assistant | 2358 Koylette Rd, Marlette, MI 48453-9609 | 2007-05-21 |
| 1881716637 | Deborah Ruth Shaw | Social Worker | 11980 San Vicente Boulevard, Suite 900, Los Angeles, CA 90049 | 2007-04-04 |
| 1316414774 | Deborah L Shaw | Registered Nurse | 51 Fairview Street, Brattleboro, VT 05301 | 2018-10-24 |
| 1962792754 | Deborah Shaw | Social Worker | 24302 Northern Blvd, Douglaston, NY 11362-1150 | 2011-04-13 |
| 1982749610 | Deborah J. K. Shaw | Chiropractor | 60 2nd St, Granby, CO 80446-0036 | 2007-02-20 |
| 1508909052 | Deborah S Shaw | Radiology | 2045 Franklin St, Denver, CO 80205-5437 | 2007-02-15 |
| Street Address |
1608 WELLINGTON AVE |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28401-7757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174901144 | John Clell Hamm | Hearing Instrument Specialist | 1608 Wellington Ave, Wilmington, NC 28401-7757 | 2015-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275002461 | Thrivetothrive, LLC | Physical Therapist | 1606 Physicians Drive, Inside Promina Health, Wilmington, NC 28401 | 2018-11-16 |
| 1841787454 | Kevin Christopher Panebianco | Family Medicine | 1911 S 17th St Ste 130a, Wilmington, NC 28401 | 2018-04-18 |
| 1518472588 | Michelle Bruin | Family Medicine | 415 S. 2nd Street, Wilmington, NC 28401 | 2017-12-12 |
| 1639617343 | Anna Farwell | Behavior Technician | 3904 Oleander Dr. Suite 102, Wilmington, NC 28401 | 2017-02-02 |
| 1588034144 | Dimitri Zivko Pitovski | Allergy & Immunology | 1099 Medical Center Dr Unit 100b, Wilmington, NC 28401 | 2015-09-25 |
| 1629457007 | Megan Havel | Counselor | 1512 E Lakeshore Drive, Wilmington, NC 28401 | 2015-05-19 |
| 1154709251 | Lance Hutchens | Dentist | 1611 Doctors Cir, Wilmington, NC 28401 | 2015-05-11 |
| 1609281161 | Diane Pittman Whitford | Counselor | 313 Walnut St., Wilmington, NC 28401 | 2014-06-24 |
| 1942550728 | Bryan Cole Chalk | Nurse Anesthetist, Certified Registered | 2131 S 17th Street, Wilmington, NC 28401 | 2012-09-19 |
| 1740566546 | Valerie Baars | Pharmacist | 2302 S 17th Street, Wilmington, NC 28401 | 2011-10-25 |
| Find all providers in zip 28401 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497631 | Deanna Renee Underwood | Massage Therapist | 2502 Silverside Rd Ste 9, Wilmington, DE 19810-3740 | 2020-11-06 |
| 1366041972 | Brandon Hammonds | Massage Therapist | 806 Autumn Leaves Ct, Wilmington, NC 28411-7777 | 2020-10-23 |
| 1689271405 | Sarah B Templeton | Massage Therapist | 7036 Wrightsville Ave # 102, Wilmington, NC 28403-3656 | 2020-10-05 |
| 1649887365 | Donna Black | Massage Therapist | 3105 Limestone Rd Ste 305, Wilmington, DE 19808-2156 | 2020-09-27 |
| 1124634530 | Alexis D. Boston | Massage Therapist | 202 Sandy Ln, Wilmington, MA 01887-6237 | 2020-09-21 |
| 1417563842 | Evelyn Abreu | Massage Therapist | 1510 Delaware Ave Apt B1d, Wilmington, DE 19806-3047 | 2020-09-21 |
| 1770199580 | Susan Aycock Marotti | Massage Therapist | 705 Bladen St, Wilmington, NC 28401-3527 | 2020-09-17 |
| 1194339952 | Niara L Anderson | Massage Therapist | 2102 N Claymont St, Wilmington, DE 19802-4612 | 2020-08-31 |
| 1457964488 | Eric C Thomas | Massage Therapist | 638 Bay View Ave Apt 220, Wilmington, CA 90744-5385 | 2020-08-28 |
| 1528693231 | Christina Lee Wood | Massage Therapist | 1904 Eastwood Rd Ste 101, Wilmington, NC 28403-5727 | 2020-03-03 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28401 |
Please comment or provide details below to improve the information on DEBORAH L 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.