Krista C Shaw (NPI# 1780011817, PAC ID# 1153552864) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1780011817 |
| PAC ID by PECOS | 1153552864 |
| Professional Enrollment ID | I20140322000006 |
| Full Name | Krista C Shaw |
| Organization Legal Name | TAR HEEL HUMAN SERVICES-MENTAL HEALTH DIVISION INC |
| Address |
191 N Nc 41 Hwy Beulaville NC 28518-8762 |
| Phone Number | 9102986207 |
| Gender | F |
| Graduation Year | 2005 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 6800836636 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 191 N Nc 41 Hwy, Beulaville, NC 28518-8762 | 9102986207 | TAR HEEL HUMAN SERVICES-MENTAL HEALTH DIVISION INC |
| Organization Legal Name | TAR HEEL HUMAN SERVICES-MENTAL HEALTH DIVISION INC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amber S Tuck | Clinical Social Worker | Tar Heel Human Services-mental Health Division Inc | 191 N Nc 41 Hwy, Beulaville, NC 28518-8762 |
| Kristie J Cavanaugh | Clinical Social Worker | Tar Heel Human Services-mental Health Division Inc | 191 N Nc 41 Hwy, Beulaville, NC 28518-8762 |
| Michele L Graffam | Clinical Social Worker | Tar Heel Human Services-mental Health Division Inc | 191 N Nc 41 Hwy, Beulaville, NC 28518-8762 |
| Jamie Fairley Husband | Clinical Social Worker | Tar Heel Human Services-mental Health Division Inc | 191 N Nc 41 Hwy, Beulaville, NC 28518-8762 |
| Christa L Mobley | Clinical Social Worker | Tar Heel Human Services-mental Health Division Inc | 191 N Nc 41 Hwy, Beulaville, NC 28518-8762 |
| Street Address |
191 N NC 41 HWY |
| City | BEULAVILLE |
| State | NC |
| Zip | 28518-8762 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amber S Tuck | Clinical Social Worker | Tar Heel Human Services-mental Health Division Inc | 191 N Nc 41 Hwy, Beulaville, NC 28518-8762 |
| Kristie J Cavanaugh | Clinical Social Worker | Tar Heel Human Services-mental Health Division Inc | 191 N Nc 41 Hwy, Beulaville, NC 28518-8762 |
| Michele L Graffam | Clinical Social Worker | Tar Heel Human Services-mental Health Division Inc | 191 N Nc 41 Hwy, Beulaville, NC 28518-8762 |
| Jamie Fairley Husband | Clinical Social Worker | Tar Heel Human Services-mental Health Division Inc | 191 N Nc 41 Hwy, Beulaville, NC 28518-8762 |
| Christa L Mobley | Clinical Social Worker | Tar Heel Human Services-mental Health Division Inc | 191 N Nc 41 Hwy, Beulaville, NC 28518-8762 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heather Rivenbark Heath | Speech Language Pathologist | 124 E Park Dr, Beulaville, NC 28518-6916 | |
| Linda B Rhodes | Occupational Therapy | Advantage Ot PC | 160 N Nc 241 Hwy, Beulaville, NC 28518-8636 |
| Leeanne Costin Sutton | Physical Therapy | Advantage Ot PC | 160 N Nc 241 Hwy, Beulaville, NC 28518-8636 |
| Jennifer M Vandeveegaete | Chiropractic | 305 E Main St, Beulaville, NC 28518-8705 | |
| Deborah G Ward | Physician Assistant | Physicians East Pa | 152 Crossover Rd, Beulaville, NC 28518-8800 |
| Richard Edward Fry | Optometry | 110 S Thomas St, Beulaville, NC 28518-8810 |
| City | BEULAVILLE |
| Zip Code | 28518 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | BEULAVILLE + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Krista C Shaw.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.