Active NPI
Sarah Shaw, APRN
- Nurse Practitioner
- Henderson, NV
National Provider Identifier
1235504788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN002014
- Practice address
- 10120 S Eastern Ave
Suite #120
Henderson, NV 89052-3951 - Phone
- (702) 483-6200
- Fax
- (702) 483-6202
- NPI assigned
- Dec 9, 2015
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN002014 | NV | Primary |
Addresses
Primary practice location
10120 S Eastern Ave
Suite #120
Henderson, NV 89052-3951
Mailing address
10120 S Eastern Ave
Suite #120
Henderson, NV 89052-3951
Phone (702) 483-6200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| APRN002014 | Other | NV | NEVADA STATE BOARD OF NURSING |
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)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449619200000",
"number": "1235504788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10120 S EASTERN AVE",
"address_2": "SUITE #120",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890523951",
"telephone_number": "702-483-6200",
"fax_number": "702-483-6202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10120 S EASTERN AVE",
"address_2": "SUITE #120",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890523951",
"telephone_number": "702-483-6200",
"fax_number": "702-483-6202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAW",
"first_name": "SARAH",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-09",
"last_updated": "2015-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NV",
"license": "APRN002014",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEVADA STATE BOARD OF NURSING",
"identifier": "APRN002014",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.