Miyah Antionette Shaw

Primary specialty

Home Health Certified Respiratory TherapistTaxonomy code 2278H0200X

Practice address

1200 Broad St Ste 104
Durham, NC 27705-3573

Phone

(919) 537-6565

NPI assigned

Apr 24, 2020

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

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

{
    "created_epoch": "1587686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587686400000",
    "number": "1083234520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 BROAD ST STE 104",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277053573",
            "telephone_number": "919-537-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 BROAD ST STE 104",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277053573",
            "telephone_number": "919-537-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "MIYAH",
        "middle_name": "ANTIONETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-24",
        "last_updated": "2020-04-24",
        "certification_date": "2020-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2278H0200X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified, Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth A. Shaw, PH.D
• Heather Shaw, M.D.
• Jeremy Shaw, M.D.
• Keemia Hurst Shaw, MSW
• Leslie A Shaw, M.A.
• Oreon S Shaw, LMSW
• Phyliss Joy Shaw, BSHE
• Aaron Shay, LMBT
• David Joseph Yehuda Shaz, MD
• Erin Victoria Shea, M.D

• Certified Respiratory Therapist in Durham, NC
• Providers in Durham, NC by specialty
• Certified Respiratory Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2020; 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.