PHILLIP ALLEN SHAW (NPI# 1912215906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912215906 |
| Entity Type | Individual |
| Full Name | PHILLIP ALLEN SHAW |
| Credential | M.ED., A.T.C. |
| Practice Address |
681 Highway 594 Monroe LA 71203-8900 |
| Mailing Address |
103 Oak Trl Monroe LA 71203-9672 |
| Practice Telephone | 3183810140 |
| Mailing Telephone | 3183810140 |
| Enumeration Date | 2010-09-23 |
| Last Update Date | 2018-11-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
J00150 | LA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 308 Warhawk Way, Monroe, LA 712090001 | 3183425381 | 3183423577 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447593256 | Phillip Andrew Shaw | Podiatrist | 12911 120th Ave Ne Ste C50, Kirkland, WA 98034-3080 | 2013-03-29 |
| 1053558775 | Phillip James Shaw | Chiropractor | 41 Huntington Ln, Wheeling, IL 60090-6908 | 2009-01-16 |
| Street Address |
681 HIGHWAY 594 |
| City | MONROE |
| State | LA |
| Zip Code | 71203-8900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801408083 | Bwilling Counseling, LLC | Counselor | 1500 North 19th Street, Monroe, La 71201, LA 71203 | 2020-08-19 |
| 1427683234 | Alexander Lee Forehan | Specialist/Technologist | 4099 Northeast Dr, Monroe, LA 71203 | 2020-03-12 |
| 1568923092 | Northeast Louisiana Veteran's Home | Department of Veterans Affairs (VA) Pharmacy | 6700 Highway 165n, Monroe, LA 71203 | 2019-03-27 |
| 1144708520 | Cassie Lord | Pharmacist | Brookshires, 7920 Desiard Street, Monroe, LA 71203 | 2018-07-30 |
| 1982196465 | Emmanuel D Hardy | Case Manager/Care Coordinator | 645 Hwy 80 East, Monroe, LA 71203 | 2018-05-31 |
| 1831689652 | Shereka Ruenet Devall | Counselor | 202 Lincoln Rd, Monroe, LA 71203 | 2018-05-17 |
| 1356830541 | David Whitney Bass | Counselor | 622 Riverside Drive, Monroe, La. 71203, Monroe, LA 71203 | 2018-05-03 |
| 1851821912 | Niatra S Bell | Counselor | 645 Highway 80 East, Monroe, LA 71203 | 2017-06-12 |
| 1528597523 | Amazing Transport, LLC | Non-emergency Medical Transport (VAN) | 6300 Mosswood Dr., Monroe, LA 71203 | 2017-06-05 |
| 1326581737 | Charla Gix | Case Manager/Care Coordinator | 645 Us-80, Monroe, LA 71203 | 2016-12-02 |
| Find all providers in zip 71203 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013514710 | Jody Powell | Specialist/Technologist | 1600 Arizona Ave, Monroe, LA 71202-3602 | 2020-10-06 |
| 1285240028 | Cecilia Kieliszewski | Specialist/Technologist | 308 Warhawk Way Ulm Athletics Department, Monroe, LA 71209-0001 | 2020-09-17 |
| 1427683234 | Alexander Lee Forehan | Specialist/Technologist | 4099 Northeast Dr, Monroe, LA 71203 | 2020-03-12 |
| 1174085195 | Emilee Berry | Specialist/Technologist | 20316 Rustic View Rd Se, Monroe, WA 98272-7607 | 2019-04-01 |
| 1497229777 | Andrew Skibski | Specialist/Technologist | 2711 N Monroe St, Monroe, MI 48162-4218 | 2019-01-19 |
| 1447741442 | Miranda Grace Boucard | Specialist/Technologist | 3865 Parkview St, Monroe, MI 48162-4560 | 2018-05-24 |
| 1679063341 | James Matthew Lype I | Specialist/Technologist | 2335 Lakeside Dr, Monroe, GA 30655-4003 | 2018-05-17 |
| 1437661196 | Leah Marie Wheaton Straub | Specialist/Technologist | 17001 Tester Rd, Monroe, WA 98272-2896 | 2017-11-02 |
| 1538693213 | Paul Wise | Specialist/Technologist | 2507 Sierra Chase Dr, Monroe, NC 28112-7623 | 2017-04-19 |
| 1871025114 | Meghan Negron | Specialist/Technologist | 14 Clinton Ct, Monroe, NY 10950-3720 | 2017-03-28 |
| Find all providers in MONROE | ||||
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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.