Individual provider Active NPI

Cynthia Ann Shaw, RN

  • Registered Nurse
  • Altoona, PA
National Provider Identifier
1194375907
Registry record updated Sep 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN584169 Issued in PA
Practice address
3010 7TH Ave
Altoona, PA 16602-1906
Phone
(814) 942-9425
Fax
(814) 942-9725
NPI assigned
Sep 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN584169 PA Primary

Addresses

Primary practice location

3010 7TH Ave
Altoona, PA 16602-1906

Mailing address

3010 7TH Ave
Altoona, PA 16602-1906
Phone (814) 942-9425

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

LicenseStateTypeSpecialty
RN584169PAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Alternative Community Resource Program, Inc. CurrentSince Sep 15, 2019 Accepting new patients
Alternative Community Resource Program PastSince Sep 15, 2019 Accepting new patients

Locations

3010 7th Ave
Altoona, PA 16602
Phone (814) 942-9425

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1568332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568332800000",
    "number": "1194375907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 7TH AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166021906",
            "telephone_number": "814-942-9425",
            "fax_number": "814-942-9725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 7TH AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166021906",
            "telephone_number": "814-942-9425",
            "fax_number": "814-942-9725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "CYNTHIA",
        "middle_name": "ANN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-13",
        "last_updated": "2019-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN584169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2019; 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.