Krista L Shaw, CCADC

Primary specialty

Addiction Medicine (Preventive Medicine) PhysicianTaxonomy code 2083A0300X

License

CADC-29393 Issued in NC

Practice address

4949A Albemarle Rd
Charlotte, NC 28205-6617

Phone

(918) 289-0270

NPI assigned

Sep 18, 2025

Last updated

Sep 18, 2025By the provider in NPPES

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

State licenses

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

{
    "created_epoch": "1758153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1083586309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 FOREST OAKS DR",
            "city": "IRON STATION",
            "state": "NC",
            "postal_code": "280809613",
            "telephone_number": "918-289-0270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4949A ALBEMARLE RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282056617",
            "telephone_number": "918-289-0270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "KRISTA",
        "middle_name": "L",
        "credential": "CCADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-18",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "NC",
            "license": "CADC-29393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dale R. Shaw, M.D.
• Felicia Shaw
• Hannah Paige Shaw, PHARMD
• Jonathan Shaw
• Justin Taylor Shaw, MD
• Margaret Caroline Shaw, DDS
• Paramount Lee Shaw, LPC/MASTERS
• Victoria Shaw, RBT
• Yolanda Shaw
• Zachary Shaw, DC

• Addiction Medicine (Preventive Medicine) Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Addiction Medicine (Preventive Medicine) Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; 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.