Theresa Dee Shaw

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

968915 Issued in TX

Practice address

1704 MLK Jr Blvd Lot 80
Killeen, TX 76543-5409

Phone

(254) 535-2026

NPI assigned

Jul 23, 2020

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": "1595462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595462400000",
    "number": "1124637434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 MLK JR BLVD LOT 80",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765435409",
            "telephone_number": "254-535-2026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 MLK JR BLVD LOT 80",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765435409",
            "telephone_number": "254-535-2026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "THERESA",
        "middle_name": "DEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-23",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "968915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrey Shalomov, M.D., M.P.H.
• Brianna Shannon
• Prince Sharma, DDS
• Sasha Rhea Sharp
• Sidney Lawrence Sharp, CRNA
• Ayesha Sheikh, M.D.
• Sean Sheley, PT, DPT
• Jamaal Shelton
• Abigail Shepherd
• Sydney Grace Sheppard, LPC-A

• Registered Nurse in Killeen, TX
• Providers in Killeen, TX by specialty
• Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.