Active NPI
Carmalita Yvette Shaw
- Health Educator
- Marion, AL
National Provider Identifier
1215575428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- Practice address
- 1310 Washington St
Marion, AL 36756-3218 - Phone
- (334) 683-2073
- Fax
- (334) 683-2077
- NPI assigned
- Dec 18, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Health Educator | 174H00000X | Primary |
Addresses
Primary practice location
1310 Washington St
Marion, AL 36756-3218
Mailing address
1310 Washington St
Marion, AL 36756-3218
Phone (334) 628-2651
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576627200000",
"number": "1215575428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1310 WASHINGTON ST",
"city": "MARION",
"state": "AL",
"postal_code": "367563218",
"telephone_number": "334-628-2651",
"fax_number": "334-628-2656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 WASHINGTON ST",
"city": "MARION",
"state": "AL",
"postal_code": "367563218",
"telephone_number": "334-683-2073",
"fax_number": "334-683-2077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAW",
"first_name": "CARMALITA",
"middle_name": "YVETTE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-18",
"last_updated": "2019-12-18",
"certification_date": "2019-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marion, AL
- Shjuan D Pickett-Crockett
- Kerri Reeves, ATC
- Reliable Rides Caring Service, LLC
- Renal Treatment Centers-Southeast, LP.
- Rural Health Medical Program, Inc.
- Skilled Partners, LLC
- Southland Nursing Home, LLC
- Allen R Stata, PHD, LCSW (PIP) ACSW
- State of Alabama
- State of Alabama Department of Public Health
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.