Active NPI
Danelle Kristine Shaw, RN
- Registered Nurse
- Muskegon Heights, MI
National Provider Identifier
1194184093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 4704298995
- Practice address
- 2201 S Getty St
Muskegon Heights, MI 49444-1207 - Phone
- (231) 739-9315
- NPI assigned
- Feb 19, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 4704298995 | MI | Primary |
Addresses
Primary practice location
2201 S Getty St
Muskegon Heights, MI 49444-1207
Mailing address
2201 S Getty St
Muskegon Heights, MI 49444-1207
Phone (231) 739-9315
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704298995 | MI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455840000000",
"number": "1194184093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2201 S GETTY ST",
"city": "MUSKEGON HEIGHTS",
"state": "MI",
"postal_code": "494441207",
"telephone_number": "231-739-9315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2201 S GETTY ST",
"city": "MUSKEGON HEIGHTS",
"state": "MI",
"postal_code": "494441207",
"telephone_number": "231-739-9315"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAW",
"first_name": "DANELLE",
"middle_name": "KRISTINE",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-02-19",
"last_updated": "2016-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MI",
"license": "4704298995",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Muskegon Heights, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.