LAQUANTA S SHAW (NPI# 1730735903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730735903 |
Entity Type | Individual |
Full Name | LAQUANTA S SHAW |
Credential | NON TYPICAL |
Practice Address |
4160 Tahoe Ct Indianapolis IN 46235-8823 |
Practice Telephone | 3176278590 |
Mailing Telephone | 3176278590 |
Enumeration Date | 2019-08-14 |
Last Update Date | 2019-08-14 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 172A00000X | Driver | 2350-45-6933 | IN | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 152957 | 05 |
Street Address |
4160 TAHOE CT |
City | INDIANAPOLIS |
State | IN |
Zip Code | 46235-8823 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598313769 | Patricia Woodfaulk | Student in an Organized Health Care Education/Training Program | 4660 Birmingham Drive, Indianapolis, IN 46235 | 2019-08-30 |
1447743794 | Pamela Zirkle | Counselor | 4126 E. 10th St., Indianapolis, IN 46235 | 2018-06-12 |
1619467560 | Ronkisha L Russell | Behavior Technician | 9905 Fallcreek Rd, Indianapolis, IN 46235 | 2018-05-16 |
1386134690 | Kaitlin Abigail Waltz | Behavior Technician | 9905 Fall Creek Rd., Indianapolis, IN 46235 | 2018-05-11 |
1386132546 | Alexis Halpen | Behavior Technician | Damar Aba, 9905 Fall Creek Rd, Indianapolis, IN 46235 | 2018-04-24 |
1881712719 | Georgia Marie Brooks | Registered Nurse | 4065 Congaree Drive, Indianapolis, IN 46235 | 2007-03-27 |
1417042003 | The Health and Hospital Corporation of Marion County | Pharmacy | 9443 E 38th St, Indianapolis, IN 46235 | 2006-10-03 |
1366869828 | Mark M. Jamerson | Counselor | 9612 English Oak Dr, Indianapolis, IN 46235-1100 | 2014-03-23 |
1679981476 | Sylvester Carr Jr. | Counselor | 9443 Pepperidge Dr, Indianapolis, IN 46235-1162 | 2014-07-25 |
1366067159 | Amdaway Ibrahim | Counselor | 4013 Baker Dr, Indianapolis, IN 46235-1573 | 2020-06-08 |
Find all providers in zip 46235 |
Taxonomy Code | 172A00000X |
Grouping | Other Service Providers |
Classification | Driver |
A person employed to operate a motor vehicle as a carrier of persons or property. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003435322 | Talisha Wilson | Driver | 10402 E Dunham Ct, Indianapolis, IN 46229-1447 | 2020-04-16 |
1063045193 | Deminfer J Mejias Martinez | Driver | 7355 Bimini Ln Apt D, Indianapolis, IN 46214-1108 | 2020-02-17 |
1740824903 | Janita Hill | Driver | 5509 Leone Ct, Indianapolis, IN 46226-1743 | 2019-10-31 |
1104477546 | Alisha Clark | Driver | 3907 Elmonte Ct, Indianapolis, IN 46226-5536 | 2019-09-26 |
1891349445 | Kem E Scott | Driver | 3031 Shelby St, Indianapolis, IN 46227-3102 | 2019-07-31 |
1669036927 | Lacharity Eugenia Faye Uzzell | Driver | 2245 Grand Prix Dr Apt B, Indianapolis, IN 46224-4373 | 2019-04-23 |
1558840181 | Ibrahim Juma | Driver | 4533 W Murray St, Indianapolis, IN 46241-6280 | 2018-08-14 |
1487145702 | Mark D Tharpe | Driver | 3720 N Dearborn St, Indianapolis, IN 46218-1244 | 2018-05-22 |
1619468048 | Jeffery M Stjohn | Driver | 415 N Colorado Ave, Indianapolis, IN 46201-3627 | 2018-05-22 |
1386132256 | Renee Marie Fisher | Driver | 3119 Earlswood Ln, Indianapolis, IN 46217-9131 | 2018-04-26 |
Find all providers in INDIANAPOLIS |
City | INDIANAPOLIS |
Zip Code | 46235 |
Please comment or provide details below to improve the information on LAQUANTA S 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.