WANDA SHAW (NPI# 1770907438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770907438 |
| Entity Type | Individual |
| Full Name | WANDA SHAW |
| Practice Address |
1319 W May St Wichita KS 67213-3505 |
| Mailing Address |
3932 N Amidon Ave Wichita KS 67204-3405 |
| Practice Telephone | 3162620505 |
| Practice Fax Number | 3162627384 |
| Mailing Telephone | 3162620505 |
| Mailing Fax Number | 3162627384 |
| Enumeration Date | 2014-02-14 |
| Last Update Date | 2014-02-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
237 | KS | Behavioral Health & Social Service Providers |
| Street Address |
1319 W MAY ST |
| City | WICHITA |
| State | KS |
| Zip Code | 67213-3505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932228533 | Dccca, Inc | Clinic/Center | 1319 W May St, Suite 1319b, Wichita, KS 67213-3505 | 2007-03-28 |
| 1588132187 | Rachel Naomi Owens | Counselor | 1319 W May St, Wichita, KS 67213-3505 | 2018-11-13 |
| 1235688276 | Gerri Lee Blaisdell | Social Worker | 1319 W May St, Wichita, KS 67213-3505 | 2016-10-03 |
| 1841615747 | Linda Knoblauch | Counselor | 1319 W May St, Wichita, KS 67213-3505 | 2014-02-28 |
| 1174948095 | Rochelle Renee Chapman | Counselor | 1319 W May St, Wichita, KS 67213-3505 | 2014-02-28 |
| 1407270150 | Minda Smith | Counselor | 1319 W May St, Wichita, KS 67213-3505 | 2014-02-14 |
| 1780012062 | Amanda Thomas | Counselor | 1319 W May St, Wichita, KS 67213-3505 | 2013-10-23 |
| 1235577297 | Tammy Gail Downen | Counselor | 1319 W May St, Wichita, KS 67213-3505 | 2013-06-11 |
| 1356685432 | Deborah Butner | Social Worker | 1319 W May St, Wichita, KS 67213-3505 | 2012-11-15 |
| 1316297724 | Alisa Leigh Baden | Marriage & Family Therapist | 1319 W May St, Wichita, KS 67213-3505 | 2012-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689111965 | Kelsey Lynn Riefenhauser | Specialist/Technologist, Other | 3100 Mccormick, Wichita, KS 67213 | 2017-01-25 |
| 1932579513 | Gracemed Health Clinic, Inc | Clinic/Center | 755 W. Lincoln St, Wichita, KS 67213 | 2015-09-25 |
| 1134564024 | Valerie Christine Wondra | Physical Therapist | 301 S Meridian Ave, Wichita, KS 67213 | 2013-05-06 |
| 1942597505 | Carmen Maria Aguilar | Social Worker | 2312 S Meridian Ave Ste 102, Wichita, KS 67213 | 2011-07-05 |
| 1245568625 | Joanne Velez | Home Health | 711 S Main, Wichita, KS 67213 | 2009-11-24 |
| 1093958712 | Adaptive Living, LLC | Occupational Therapist | 2423 W. Maple, Ste B, Wichita, KS 67213 | 2009-04-10 |
| 1295809069 | Stacey D Langston | Technician/Technologist | 2301 S Water, Wichita, KS 67213 | 2006-11-20 |
| 1275595134 | Ronald Dean Fisher | Optometrist | 2635 W Douglas, Wichita, KS 67213 | 2006-04-05 |
| 1083676936 | Wichita Optometry, P.a. | Optometrist | 2635 W Douglas Ave, Wichita, KS 67213 | 2006-04-05 |
| 1427361385 | Ryan Carl Emrick | Optometrist | 1202 W Maple St, Wichita, KS 67213 | 2010-07-21 |
| Find all providers in zip 67213 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679194989 | Matthew Rathbun | Counselor | 551 S Holland Ln, Wichita, KS 67209-2007 | 2020-04-28 |
| 1275168064 | Katherine Fibert | Counselor | 9019 W 10th St N # W10th, Wichita, KS 67212-4020 | 2020-03-12 |
| 1275011462 | Tag Treatment Center LLC | Counselor | 1999 N Amidon Ave Ste 335, Wichita, KS 67203-2152 | 2018-07-31 |
| 1538675137 | Karmeleta Burnett | Counselor | 2201 E 13th St N Ste E, Wichita, KS 67214-1903 | 2017-12-18 |
| 1477072627 | H. Wayne Simpson | Counselor | 3835 W Douglas Ave, Wichita, KS 67213-2408 | 2017-09-19 |
| 1558887901 | Shonnetta Lachan Gabriel | Counselor | 2707 E. 21st St. N, Wichita, KS 67214 | 2017-08-17 |
| 1548709520 | Lorna Rae Stoecklein | Counselor | 1337 N Meridian Ave Ste 5, Wichita, KS 67203-4641 | 2017-02-23 |
| 1871037481 | Chelsea Ajuka Anukam | Counselor | 801 E Douglas Ave Fl 2, Wichita, KS 67202-3548 | 2016-12-15 |
| 1952850653 | Rachel J Johnson | Counselor | 805 N Volutsia, Wichita, KS 67214 | 2016-09-23 |
| 1154877603 | Alicia Rose Landrum | Counselor | 515 N Ridge Rd Ste 105, Wichita, KS 67212 | 2016-08-25 |
| Find all providers in WICHITA | ||||
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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.