Individual provider Active NPI

Catherine McCalley Shaw, FNP

  • Family Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1043695869
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5007788 Issued in NC
Practice address
4525 Cameron Valley Pkwy
Ste 4100D
Charlotte, NC 28211-4369
Phone
(980) 402-1800
NPI assigned
Jul 22, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5007788 NC
Family Nurse Practitioner 363LF0000X 5007788 NC Primary

Addresses

Primary practice location

4525 Cameron Valley Pkwy
Ste 4100D
Charlotte, NC 28211-4369

Mailing address

PO Box 19305
Charlotte, NC 28219-9305

Other practice location 1

332 N Trade St
Ste 2000-A
Matthews, NC 28105-1728
Phone (704) 302-8860

Other practice location 2

9611 Sherrill Estates Rd
Ste B
Huntersville, NC 28078-6485
Phone (704) 801-1150

Other practice location 3

16645 Birkdale Commons Pkwy
Ste 100
Huntersville, NC 28078-5669
Phone (704) 801-7390

Other practice location 4

11530 Providence Rd
Charlotte, NC 28277-2691
Phone (704) 667-0670

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20151019002342 NC Practitioner - Nurse Practitioner 8729397575 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atrium Health North Market Network LLCGroup PAC ID 1557743440, 158 clinicians

Practice addresses (Care Compare)

4525 Cameron Valley Pkwy
Suite 4100D
Charlotte, NC 28211-4369
Phone (980) 402-1800

Hospital & facility affiliations

  • Carolinas Medical Center/Behav Health Hospital, Charlotte, NC, CCN 340113
  • Adventhealth Ocala Hospital, Ocala, FL, CCN 100062

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5007788NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Physicians Network Inc Current Accepting new patients
Carolinas Physicians Network Inc CurrentSince Nov 1, 2022 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Nov 1, 2022 Accepting new patients
Atrium Health North Market Network LLC CurrentSince Jul 1, 2022 Accepting new patients
Carolinas Physicians Network Inc Past Accepting new patients

Locations

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

4525 Cameron Valley Pkwy
Ste 4100D
Charlotte, NC 28211
Phone (704) 801-7310

11530 Providence Rd
Ste 2300
Charlotte, NC 28277
Phone (704) 667-0670

11530 Providence Rd
Charlotte, NC 28277
Phone (704) 373-1813

16645 Birkdale Commons Pkwy
Ste 100
Huntersville, NC 28078
Phone (704) 801-7390

9611 Sherrill Estates Rd
Ste B
Huntersville, NC 28078
Phone (704) 801-1150

332 N Trade St
Ste 2000A
Matthews, NC 28105
Phone (704) 302-8860

Organizations & group practices 5

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 7

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": "1437523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1043695869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19305",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282199305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4525 CAMERON VALLEY PKWY",
            "address_2": "STE 4100D",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282114369",
            "telephone_number": "980-402-1800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "332 N Trade St",
            "address_2": "Ste 2000-A",
            "address_purpose": "LOCATION",
            "city": "Matthews",
            "state": "NC",
            "postal_code": "281051728",
            "country_code": "US",
            "telephone_number": "704-302-8860",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9611 Sherrill Estates Rd",
            "address_2": "Ste B",
            "address_purpose": "LOCATION",
            "city": "Huntersville",
            "state": "NC",
            "postal_code": "280786485",
            "country_code": "US",
            "telephone_number": "704-801-1150",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16645 Birkdale Commons Pkwy",
            "address_2": "Ste 100",
            "address_purpose": "LOCATION",
            "city": "Huntersville",
            "state": "NC",
            "postal_code": "280785669",
            "country_code": "US",
            "telephone_number": "704-801-7390",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11530 Providence Rd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282772691",
            "country_code": "US",
            "telephone_number": "704-667-0670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAW",
        "first_name": "CATHERINE",
        "middle_name": "MCCALLEY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-22",
        "last_updated": "2024-07-15",
        "certification_date": "2022-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5007788",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5007788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.