Rena Lachelle Shaw

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Practice address

6434 E 52ND St
Indianapolis, IN 46226-2588

Phone

(463) 224-4397

NPI assigned

Jul 6, 2024

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": "1720224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720224000000",
    "number": "1285470534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 MONUMENT CIR STE 222A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462042910",
            "telephone_number": "463-224-4397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6434 E 52ND ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462262588",
            "telephone_number": "463-224-4397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "RENA",
        "middle_name": "LACHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-06",
        "last_updated": "2024-07-06",
        "certification_date": "2024-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Austin Shaw, PARAMEDIC
• Kami C Shaw, PA-C
• Kimerly Shaw
• Laquanta S Shaw, NON TYPICAL
• Lei Shaw, L. AC
• SHC, LLC
• She Stylez
• Anna Katherine Shea
• Erin Shea
• Michael P Shea, MD

• Prosthetic/Orthotic Supplier in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Prosthetic/Orthotic Supplier in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2024; 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.