NICOLE SHAW (NPI# 1801253703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801253703 |
| Entity Type | Individual |
| Full Name | NICOLE SHAW |
| Practice Address |
847 Ne 19th Ave Portland OR 97232 |
| Mailing Address |
Po Box 8459 Portland OR 97207 |
| Practice Telephone | 5032380769 |
| Enumeration Date | 2016-01-22 |
| Last Update Date | 2016-01-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457701005 | Nicole M Shaw | Physical Therapist | 3100 Colony Dr, Alliance, OH 44601-5244 | 2016-06-14 |
| 1316277593 | Nicole Levarsette Shaw | Pharmacy Technician | 1602 Princeton Ln, Augusta, GA 30904-5070 | 2010-01-11 |
| 1356989966 | Nicole Danielle Shaw | Behavioral Analyst | 1400 Fox Hill Rd Ste 100, State College, PA 16803-1877 | 2019-12-13 |
| 1295297497 | Nicole Shaw | Psychiatry & Neurology | 5841 S Maryland Ave # Mc1052, Chicago, IL 60637-1443 | 2019-04-05 |
| 1023572997 | Nicole Shaw | Speech-Language Pathologist | 4500 E Cherry Creek South Dr Ste 710, Denver, CO 80246-1534 | 2019-01-25 |
| 1386151850 | Nicole Shaw | Physical Therapist | 185 Harrison Ave, Boston, MA 02111-1804 | 2018-01-05 |
| 1861910549 | Nicole Shaw | Counselor | 2450 E Fort Union Blvd, Cottonwood Heights, UT 84121-3337 | 2017-09-01 |
| 1346614138 | Nicole B Shaw | Nurse Practitioner | 11141 Parkview Plaza Dr Ste 305, Fort Wayne, IN 46845-1715 | 2015-11-17 |
| 1285079020 | Nicole Shaw | Family Medicine | 1890 Al Highway 157 Ste 300, Cullman, AL 35058-0689 | 2013-05-07 |
| 1568704039 | Nicole Leanne Shaw | Case Manager/Care Coordinator | 2001 The Alameda, San Jose, CA 95126-1136 | 2013-03-22 |
| Street Address |
847 NE 19TH AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265417174 | Oregon Clinic PC | Obstetrics & Gynecology | 847 Ne 19th Ave, Suite 300, Portland, OR 97232-2684 | 2005-12-13 |
| 1366073504 | Angela R Osipovich | Adult Companion | 847 Ne 19th Ave, Portland, OR 97232-2684 | 2020-01-27 |
| 1649829714 | Shane Dalton Wight | Adult Companion | 847 Ne 19th Ave, Portland, OR 97232-2684 | 2019-09-10 |
| 1922650043 | Sean Smith | Registered Nurse | 847 Ne 19th Ave, Portland, OR 97232-2684 | 2019-07-09 |
| 1518528942 | Lori Horton | Registered Nurse | 847 Ne 19th Ave, Portland, OR 97232-2684 | 2019-06-26 |
| 1629636014 | Emma Lee Patton | Counselor | 847 Ne 19th Ave, Portland, OR 97232-2684 | 2019-05-31 |
| 1285299024 | James Richard Broker | Counselor | 847 Ne 19th Ave, Portland, OR 97232-2684 | 2019-05-07 |
| 1912460783 | Jessica Kay Long | Adult Companion | 847 Ne 19th Ave, Portland, OR 97232-2684 | 2019-04-09 |
| 1538622311 | Kendall Frances Burns | Community Health Worker | 847 Ne 19th Ave, Portland, OR 97232-2684 | 2019-04-09 |
| 1396203014 | Shala Muldrew | Adult Companion | 847 Ne 19th Ave, Portland, OR 97232-2684 | 2019-03-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881293215 | Oregon Change Clinic | Clinic/Center | 650 Ne Holladay Street, Suite 1600, Portland, OR 97232 | 2020-10-17 |
| 1154969947 | Lori Kristen Miracle | Acupuncturist | Kwan Yin Healing Arts Center East Inc, 3115 Ne Sandy Blvd. Suite 231, Portland, OR 97232 | 2019-12-12 |
| 1194285411 | Onampai Modina Soondarotok | Student in an Organized Health Care Education/Training Program | Ipp, Oregon Health & Science University, 2214 Lloyd Center, Portland, OR 97232 | 2019-03-22 |
| 1003399635 | Cathleen Nicole Wenberg | Social Worker | 1839 Ne Couch St, Portland, OR 97232 | 2018-09-10 |
| 1508350760 | Float North | Acupuncturist | 1617 Ne 17th Ave., Portland, OR 97232 | 2018-06-20 |
| 1629560719 | Rachael Lee Walters | Doula | 3005 Ne Hoyt St, Portland, OR 97232 | 2018-06-04 |
| 1225529431 | Jason Sutherland | Social Worker | 707 Ne Couch, Portland, OR 97232 | 2018-05-23 |
| 1770089245 | Richard Farwell Leman | Family Medicine | 800 Ne Oregon St., Suite 772, Portland, OR 97232 | 2018-04-03 |
| 1952803413 | Aleksandra Giedowyn Md PC | Family Medicine | 1923 Ne Broadway Street Suite 2, Portland, OR 97232 | 2018-03-01 |
| 1639680374 | Amanda Matteo | Counselor | 20 Ne 10th Ave, Portland, OR 97232 | 2017-10-20 |
| Find all providers in zip 97232 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748243 | Jessica M Feinsmith | Counselor | 6530 N Williams Ave, Portland, OR 97217-1924 | 2020-10-21 |
| 1720687809 | Karissa Myriah Gregory | Counselor | 14255 Se Rupert Dr, Portland, OR 97267-1211 | 2020-10-20 |
| 1528667904 | Zuzana Sakova | Counselor | 819 Se Morrison St Ste 225, Portland, OR 97214-6311 | 2020-10-18 |
| 1891302238 | Nina Landey | Counselor | 120 Se 53rd Ave, Portland, OR 97215-1204 | 2020-09-29 |
| 1902412166 | Peter H Addy LLC | Counselor | 524 N Tillamook St Ste 102b, Portland, OR 97227-1993 | 2020-09-22 |
| 1326654765 | Naomi Painter | Counselor | 1925 Ne 19th Ave Apt 8a, Portland, OR 97212-4526 | 2020-09-21 |
| 1750996104 | Sara Fuller | Counselor | 3016 Ne 70th Ave, Portland, OR 97213-5802 | 2020-09-12 |
| 1114532983 | Matthew W Cronin | Counselor | 1122 Ne 122nd Ave Ste 200, Portland, OR 97230-2081 | 2020-09-09 |
| 1447865381 | Luke Colbourn | Counselor | 2705 E Burnside St Ste 206, Portland, OR 97214-1768 | 2020-09-08 |
| 1710599774 | Abigail Kathryn Ernst | Counselor | 1020 Sw Taylor St # 100, Portland, OR 97205-2543 | 2020-08-20 |
| Find all providers in PORTLAND | ||||
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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.