Nancy E Shaw (NPI# 1902125685, PAC ID# 4587983770) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1902125685 |
| PAC ID by PECOS | 4587983770 |
| Professional Enrollment ID | I20150511001493 |
| Full Name | Nancy E Shaw |
| Organization Legal Name | LIFESTREAM BEHAVIORAL CENTER INC |
| Address |
201 E Magnolia Ave Eustis FL 32726-3583 |
| Phone Number | 3523571550 |
| Gender | F |
| Graduation Year | 2002 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 7012992720 |
| Number of Group Practice Members | 19 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 201 E Magnolia Ave, Eustis, FL 32726-3583 | 3523571550 | LIFESTREAM BEHAVIORAL CENTER INC |
| 2018 Talley Rd, Leesburg, FL 34748-3426 | 3523157400 | LIFESTREAM BEHAVIORAL CENTER INC |
| 2020 Talley Rd, Leesburg, FL 34748-3426 | 3523157800 | LIFESTREAM BEHAVIORAL CENTER INC |
| 215 N 3rd St, Leesburg, FL 34748-5105 | 3523157900 | LIFESTREAM BEHAVIORAL CENTER INC |
| Organization Legal Name | LIFESTREAM BEHAVIORAL CENTER INC |
| Physicians | 22 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Natasha O Vernon | Nurse Practitioner | Lifestream Behavioral Center Inc | 215 N 3rd St, Leesburg, FL 34748-5105 |
| Edeline Dardignac | Nurse Practitioner | Lifestream Behavioral Center Inc | 2140 N Don Wickham Dr, Clermont, FL 34711-1962 |
| Nageley J Michel | Nurse Practitioner | Lifestream Behavioral Center Inc | 2020 Talley Rd, Leesburg, FL 34748-3426 |
| David A Dada | Psychiatry | Lifestream Behavioral Center Inc | 2018 Talley Rd, Leesburg, FL 34748-3426 |
| Carol Anne Couts | Psychiatry | Lifestream Behavioral Center Inc | 201 E Magnolia Ave, Eustis, FL 32726-3583 |
| Richard B Wallace | Psychiatry | Lifestream Behavioral Center Inc | 215 N 3rd St, Leesburg, FL 34748-5105 |
| Amanda V Craig Smith | Nurse Practitioner | Lifestream Behavioral Center Inc | 215 N 3rd St, Leesburg, FL 34748-5105 |
| Julie M Conrad | Nurse Practitioner | Lifestream Behavioral Center Inc | 2140 N Don Wickham Dr, Clermont, FL 34711-1962 |
| Barbara Gurgen | Nurse Practitioner | Lifestream Behavioral Center Inc | 2020 Talley Rd, Leesburg, FL 34748-3426 |
| William Whitman | Psychiatry | Lifestream Behavioral Center Inc | 201 E Magnolia Ave, Eustis, FL 32726-3583 |
| Street Address |
201 E MAGNOLIA AVE |
| City | EUSTIS |
| State | FL |
| Zip | 32726-3583 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carol Anne Couts | Psychiatry | Lifestream Behavioral Center Inc | 201 E Magnolia Ave, Eustis, FL 32726-3583 |
| William Whitman | Psychiatry | Lifestream Behavioral Center Inc | 201 E Magnolia Ave, Eustis, FL 32726-3583 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John W Cooke | Internal Medicine | 633 N Bay St, Eustis, FL 32726-2937 | |
| Keith R Hester | Physician Assistant | Family Care On Eustis Square Pa | 1 W Park Ave, Eustis, FL 32726-2947 |
| Lewis J Herzbrun | Physical Medicine and Rehabilitation | 30 W Wilt Ave, Eustis, FL 32726-2949 | |
| Charlotte A Wigle | Nurse Practitioner | Aimee Gilmet Arnp-c P.a. | 720 N Bay St, Suite 11, Eustis, FL 32726-2964 |
| Aimee Gilmet | Nurse Practitioner | Aimee Gilmet Arnp-c P.a. | 720 N Bay St, Suite 11, Eustis, FL 32726-2964 |
| Sabaretnam Yogendra | Pulmonary Disease | 720 N Bay St, Eustis, FL 32726-2964 | |
| Danielle Mathis | Nurse Practitioner | Aimee Gilmet Arnp-c P.a. | 720 N Bay St, Suite 11, Eustis, FL 32726-2964 |
| Donald J Tindall Jr. | General Practice | 720 N Bay St, Suite 12, Eustis, FL 32726-2964 | |
| Jeremy E Creech | Nurse Practitioner | North Lake Primary Care, P.a. | 6 N Eustis St, Eustis, FL 32726-3408 |
| Sujatha Baskar | Internal Medicine | 33 N Ctr St, Suite A, Eustis, FL 32726-3580 | |
| Find all physicians in zip 32726 | |||
| City | EUSTIS |
| Zip Code | 32726 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | EUSTIS + CLINICAL SOCIAL WORKER |
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| 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.