Kaylan Shaw, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LN89448 Issued in MA

Practice address

50 Arnold St
Wrentham, MA 02093-1727

Phone

(401) 297-7483

NPI assigned

Apr 17, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1713312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1043065758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 ARNOLD ST",
            "city": "WRENTHAM",
            "state": "MA",
            "postal_code": "020931727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 ARNOLD ST",
            "city": "WRENTHAM",
            "state": "MA",
            "postal_code": "020931727",
            "telephone_number": "401-297-7483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "KAYLAN",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-17",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MA",
            "license": "LN89448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gretchen L Schramm
• Stephen J Sebastian, M.D.
• Seed of Care
• Sein H. Siao, DMD & Associates, P.C.
• Samantha L Shaughnessy, LICSW
• Shi-III Wrentham LLC
• Shriver Clinical Services
• Sein H. Siao, DMD
• Stephen Signes, RPH
• Kathleen Marie Slack, RN, MSN, PMHNP

• Licensed Practical Nurse in Wrentham, MA
• Providers in Wrentham, MA by specialty
• Licensed Practical Nurse in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.