Dayco Lashell Shaw

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

1187 Wrenwood CT
Fayetteville, NC 28303-5810

Phone

(910) 568-5017

Fax

(910) 568-5017

NPI assigned

Oct 9, 2008

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1223510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223510400000",
    "number": "1225289002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36252",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283031252",
            "telephone_number": "910-568-5017",
            "fax_number": "910-568-5017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1187 WRENWOOD CT",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283035810",
            "telephone_number": "910-568-5017",
            "fax_number": "910-568-5017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "DAYCO",
        "middle_name": "LASHELL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-09",
        "last_updated": "2008-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharper Images of Fayetteville, Inc
• Jeffrey Dale Shatterly, RPH
• Jennifer Shattuck, CRNA
• Tanveer Shaukat, MD
• Chavonne Nakia Shaw
• Shenethia Fenner Shaw, LCMHCS, NCC
• Tomeka Davis Shaw, LPC, NCC
• Dawn Shea-Frick, LCMHC, LCAS
• Jennifer Lyn Shean, PTA
• James E. Shearer, M.D.

• Community Health Worker in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Community Health Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2008; 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.