ERICA D SHAW


Address: 2615 Edwards St, Alton, IL 62002-3915
Phone: 6184622331

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).

Provider Overview

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

Taxonomy

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

Other Providers ERICA SHAW

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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

Office Location

Street Address 2615 EDWARDS ST
City ALTON
State IL
Zip Code 62002-3915

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417502253 Laura L Novack Nurse Practitioner 4 Memorial Dr Ste 210, Alton, IL 62002-6751 2019-08-08

Providers in the same taxonomy and state

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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Competitor

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City ALTON
Zip Code 62002

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Dataset Information

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.

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