Individual provider Active NPI

Anthony James Shaw, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Glendale, AZ
National Provider Identifier
1013471309
Registry record updated Jan 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
221810 Issued in AZ
Practice address
7190 W Fleetwood LN
Glendale, AZ 85303-7606
Phone
(602) 568-8381
NPI assigned
Jan 30, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 221810 AZ
Gerontology Nurse Practitioner 363LG0600X 221810 AZ
Acute Care Nurse Practitioner 363LA2100X 221810 AZ Primary

Addresses

Primary practice location

7190 W Fleetwood LN
Glendale, AZ 85303-7606

Mailing address

7190 W Fleetwood LN
Glendale, AZ 85303-7606
Phone (602) 568-8381

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190612003625 AZ Practitioner - Nurse Practitioner 5092048629 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Honorhealth Medical Group, LLCGroup PAC ID 1557274057, 338 clinicians

Practice addresses (Care Compare)

9250 N 3Rd St
Suite 4010
Phoenix, AZ 85020-2432
Phone (602) 997-7331

Hospital & facility affiliations

  • Haven Home Health Care Home health agency, Scottsdale, AZ, CCN 037492
  • Honor Health John C. Lincoln Medical Center Hospital, Phoenix, AZ, CCN 030014
  • Honorhealth Scottsdale Shea Medical Center Hospital, Scottsdale, AZ, CCN 030087
  • Honorhealth Scottsdale Thompson Peak Med Ctr Hospital, Scottsdale, AZ, CCN 030123

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Medical Group, LLC CurrentSince Sep 19, 2022 Accepting new patients
Honorhealth Medical Group, LLC CurrentSince Sep 19, 2022 Accepting new patients
Honorhealth Medical Group, LLC Current Accepting new patients
Honorhealth Medical Group, LLC Past Accepting new patients

Locations

3648 W Anthem Way
Ste A100
Anthem, AZ 85086
Phone (623) 434-6444

6220 W Bell Rd
Ste 130
Glendale, AZ 85308
Phone (602) 547-7348

10230 W Happy Valley Pkwy
Ste 100C
Peoria, AZ 85383
Phone (623) 561-3030

9250 N 3rd St
Ste 4010
Phoenix, AZ 85020
Phone (602) 633-3838

2500 W Utopia Rd
Ste 100
Phoenix, AZ 85027
Phone (623) 683-4462

10200 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 314-2288

Networks

  • NM HMO C-SNP

Interoperability endpoints

  • Direct secure messaging: ashaw485826@direct.honorhealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1548806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548806400000",
    "number": "1013471309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7190 W FLEETWOOD LN",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853037606",
            "telephone_number": "602-568-8381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7190 W FLEETWOOD LN",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853037606",
            "telephone_number": "602-568-8381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "ANTHONY",
        "middle_name": "JAMES",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-30",
        "last_updated": "2019-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "221810",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AZ",
            "license": "221810",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AZ",
            "license": "221810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.