ERICA D SHAW (NPI# 1689179061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689179061 |
Entity Type | Individual |
Full Name | ERICA D SHAW |
Credential | APN |
Practice Address |
2615 Edwards St Alton IL 62002-3915 |
Mailing Address |
902 W Main St West Frankfort IL 62896-2210 |
Practice Telephone | 6184622331 |
Practice Fax Number | 6184627160 |
Mailing Telephone | 6189376483 |
Mailing Fax Number | 6189371440 |
Enumeration Date | 2018-03-27 |
Last Update Date | 2020-02-24 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | 041.433193 | IL | Nursing Service Providers |
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
209020833 | IL | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467013482 | Erica Shaw | Home Health | 4910 Stengel Ave, Toledo, OH 43614-5259 | 2019-06-21 |
1235520073 | Erica Shaw | Speech-Language Pathologist | 10525 S 4th Ave, Inglewood, CA 90303-1605 | 2015-02-16 |
1982878435 | Erica L Shaw | Developmental Therapist | 314 Bethel Church Rd, Glasgow, KY 42141-9414 | 2008-04-16 |
1053672279 | Erica J Shaw | Nurse Anesthetist, Certified Registered | 13535 Nemours Pkwy, Nemours Childrens Hospital, Orlando, FL 32827-7402 | 2012-06-05 |
1942444344 | Erica Shaw | Nurse Practitioner | 255 W Lancaster Ave, Paoli, PA 19301-1763 | 2009-04-29 |
1164677316 | Erica K Shaw | Speech-Language Pathologist | 3 Parkside Ct, Utica, NY 13501-5643 | 2008-12-01 |
1134167448 | Erica Shaw | Physical Therapist | 700 Ne 87th Ave, Vancouver, WA 98664-1913 | 2006-06-02 |
Street Address |
2615 EDWARDS ST |
City | ALTON |
State | IL |
Zip Code | 62002-3915 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033203013 | Mirza S A Baig | Psychiatry & Neurology | 2615 Edwards St, Alton, IL 62002-3915 | 2006-10-03 |
1275132300 | Rose Sandt | Counselor | 2615 Edwards St, Alton, IL 62002-3915 | 2020-10-20 |
1659978211 | Lisa Wood | Counselor | 2615 Edwards St, Alton, IL 62002-3915 | 2020-10-07 |
1184239253 | Taylor Marks | Counselor | 2615 Edwards St, Alton, IL 62002-3915 | 2020-09-15 |
1568076008 | Samantha Lynn Parker | Pharmacist | 2615 Edwards St, Suite 102, Alton, IL 62002 | 2020-09-02 |
1134732860 | Anya Weber | Counselor | 2615 Edwards St, Alton, IL 62002-3915 | 2020-08-24 |
1891318259 | Samantha Allen | Counselor | 2615 Edwards St, Alton, IL 62002-3915 | 2020-05-20 |
1700411782 | Kristina Monetti | Counselor | 2615 Edwards St, Alton, IL 62002-3915 | 2020-03-10 |
1164057493 | Rebecca Arnold | Counselor | 2615 Edwards St, Alton, IL 62002-3915 | 2020-03-06 |
1013542414 | Susan Burris | Counselor | 2615 Edwards St, Alton, IL 62002-3915 | 2020-03-05 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285272807 | Jersey Community Hospital | Obstetrics & Gynecology | #2 Memorial Drive, Suite 203, Alton, IL 62002 | 2019-12-13 |
1912540659 | Kelsi N Harre | Community Health Worker | 2603 N. Rogers Ave., Alton, IL 62002 | 2019-10-25 |
1841848322 | Destiny L Miller | Technician | 3429 Meridocia St, Alton, IL 62002 | 2019-08-28 |
1942854633 | Jessica Leigh Jump | Speech-Language Pathologist | 453 Bluff Street, Alton, IL 62002 | 2019-07-30 |
1194380741 | Vasiliki Kytridou | Dentist | 2800 College Avenue Southern Il University School of De, Building 285, Alton, IL 62002 | 2019-05-08 |
1982125910 | Amy Nicole Spalding | Social Worker | 1123 Harrison St, Alton, IL 62002 | 2017-06-29 |
1962856310 | Patricia Gregory | Social Worker | 5090 Humbert Rd, Alton, IL 62002 | 2016-04-21 |
1447612510 | Alanna Lynn Mcnelly | Chiropractor | 219 Piasa St, Suite 200, Alton, IL 62002 | 2016-03-28 |
1174983050 | Roberta's Lovely Ladies Boutique | Mastectomy Fitter | 603 W. Delmar, Alton, IL 62002 | 2016-03-04 |
1184081556 | Darcy Graham | Nurse Practitioner | 4 Memorial Dr # 210, Alton, IL 62002 | 2016-01-15 |
Find all providers in zip 62002 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417502253 | Laura L Novack | Nurse Practitioner | 4 Memorial Dr Ste 210, Alton, IL 62002-6751 | 2019-08-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790384451 | Ghea Tiping Degillo | Nurse Practitioner | 4711 Golf Rd Ste 500, Skokie, IL 60076-1208 | 2020-10-22 |
1750989620 | Rodney J Pena Jr. | Nurse Practitioner | 1362 Trotters Ln, Bourbonnais, IL 60914-4519 | 2020-10-13 |
1609482231 | Crystal Lynn Jordan | Nurse Practitioner | 638 Oakbrook Ave, Chatham, IL 62629 | 2020-09-18 |
1497369672 | Mojisola Abayemi Akinfe | Nurse Practitioner | 8572 Stone Creek Blvd, Frankfort, IL 60423-9338 | 2020-09-03 |
1508475039 | Hilary Eichie | Nurse Practitioner | 20025 Division St., Crest Hill, IL 60403 | 2020-07-30 |
1518585942 | Tabs Behavioral Health Inc | Nurse Practitioner | 13316 Vicarage Dr, Plainfield, IL 60585-5050 | 2020-07-13 |
1154946788 | Latisha Trenice Stennis | Nurse Practitioner | 8106 Carol Dr, East Saint Louis, IL 62203-1838 | 2020-06-09 |
1114549755 | Maria Andreea Bordeianu | Nurse Practitioner | 6050 N California Ave, Chicago, IL 60659-3916 | 2020-05-16 |
1104448968 | Abosede Rachel Babalola | Nurse Practitioner | 2214 Monarch St, Bourbonnais, IL 60914-2780 | 2020-05-14 |
1659909406 | Mudira Temilola Oyewole | Nurse Practitioner | 493 Leslie Ct, Des Plaines, IL 60016-8818 | 2020-03-28 |
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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.