Caroline Keller Shaw

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

16819 NE 159TH St
Brush Prairie, WA 98606-7323

Phone

(360) 448-6450

NPI assigned

Jun 28, 2018

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1530144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530144000000",
    "number": "1043705346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 W WINDSOR AVE",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223011518",
            "telephone_number": "703-819-6915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16819 NE 159TH ST",
            "city": "BRUSH PRAIRIE",
            "state": "WA",
            "postal_code": "986067323",
            "telephone_number": "360-448-6450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "CAROLINE",
        "middle_name": "KELLER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-28",
        "last_updated": "2018-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christy Jayne Runde, LMP
• Neal Salsgiver
• Raymond Scheimer, DPM
• Trevor Schwanz, DC
• Talia Scogin
• Amanda Jennie Sitmann, RN
• Gena Lynn Stahlecker, RN
• Barbara J Stayton
• Caitlin Leigh Steckler, AAC
• Emily P Stewart, LMP

• Athletic Trainer in Brush Prairie, WA
• Providers in Brush Prairie, WA by specialty
• Athletic Trainer in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2018; 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.