Active NPI
Rebecca Shannon Shaw, MS
- Counselor
- Birmingham, AL
National Provider Identifier
1255049268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 4241
- Practice address
- 200 Cahaba Park Cir Ste 214
Birmingham, AL 35242-8113 - Phone
- (205) 903-6282
- NPI assigned
- Nov 8, 2022
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 4241 | AL | Primary |
Addresses
Primary practice location
200 Cahaba Park Cir Ste 214
Birmingham, AL 35242-8113
Mailing address
200 Cahaba Park Cir Ste 214
Birmingham, AL 35242-8113
Phone (205) 903-6282
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4241 | Other | AL | PRELICENSE |
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4241 | AL | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667865600000",
"number": "1255049268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 CAHABA PARK CIR STE 214",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352428113",
"telephone_number": "205-903-6282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 CAHABA PARK CIR STE 214",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352428113",
"telephone_number": "205-903-6282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAW",
"first_name": "REBECCA",
"middle_name": "SHANNON",
"name_prefix": "Mrs.",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-08",
"last_updated": "2022-11-08",
"certification_date": "2022-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "AL",
"license": "4241",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRELICENSE",
"identifier": "4241",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.