Jessica Anna Shaw, MED, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT-10433 Issued in AZ

Practice address

6420 E Broadway Blvd Ste B200
Tucson, AZ 85710-3514

Phone

(520) 822-6472

Fax

(520) 795-4981

NPI assigned

Mar 29, 2011

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

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1301356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429056000000",
    "number": "1235428459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6420 E BROADWAY BLVD STE B200",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857103514",
            "telephone_number": "520-822-6472",
            "fax_number": "520-795-4981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 E BROADWAY BLVD STE B200",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857103514",
            "telephone_number": "520-822-6472",
            "fax_number": "520-795-4981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "JESSICA",
        "middle_name": "ANNA",
        "name_prefix": "Ms.",
        "credential": "MED, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-29",
        "last_updated": "2015-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AZ",
            "license": "LMFT-10433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maeve Shaughnessy, MS
• Ashley Shaw
• Bridget Nicole Shaw, MSN, APRN, FNP-C
• Dale Shaw, PHARMD
• Heather Nicole Shaw, LPN
• Noel L Shaw, DC
• Nori Kathleen Shaw, MSW
• Steven Michael Shaw, MD
• Rosa Shawano, LMT
• Connie Elizabeth Shawler, RPH

• Marriage & Family Therapist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Marriage & Family Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2015; 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.