Active NPIIndividual provider

Shantae M Shaw

Community Health Worker in South Hadley, Massachusetts

NPI Number1194258061
Practice location
258 Old Lyman RD, South Hadley, MA 01075-2653
Fax
—
Last updated
April 7, 2017

Shantae Monique Shaw is a Community Health Worker based in South Hadley, MA. Shantae Monique Shaw practices in South Hadley, MA. The NPI Number for Shantae Monique Shaw is 1194258061. The current practice location address for Shantae Monique Shaw is 258 Old Lyman RD, South Hadley, MA 01075-2653 and can be reached out via phone at 413-896-9094.

Provider Profile Details

NPI Number
1194258061
Provider Name
Shantae Monique Shaw
Provider Entity Type
Individual
Gender
Female
Address
258 Old Lyman RD, South Hadley, MA 01075-2653
Phone Number
413-896-9094
Primary Taxonomy
Community Health Worker · 172V00000X
Sole Proprietor
No
Provider Enumeration Date
April 7, 2017
Last Update Date
April 7, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
258 Old Lyman RD
South Hadley, MA 01075-2653
Zip
01075-2653
Phone Number
413-896-9094
South Hadley, MA 01075Get directions →

Provider Business Mailing Address Details

Address
E25 Mill Pond RD
Broad Brook, CT 06016-9107
City
Broad Brook
State
CT
Zip
06016-9107
Phone Number
860-987-3035

License Information

Taxonomy
Community Health Worker · 172V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Shantae M Shaw?

The NPI number of Shantae M Shaw is 1194258061. It was assigned on April 7, 2017 and is currently active in the NPPES registry.

What is the specialty of Shantae M Shaw?

Shantae M Shaw is registered under the primary taxonomy Community Health Worker (code 172V00000X).

Where does Shantae M Shaw practice?

The practice location is 258 Old Lyman RD, South Hadley, MA 01075-2653. The office can be reached at 413-896-9094 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1194258061 directly on the NPPES registry website.

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