Individual provider Active NPI

Christine R Shaw, PHD, APRN-BC

  • Family Nurse Practitioner
  • Milwaukee, WI
National Provider Identifier
1295738581
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
55699-030 Issued in WI
Practice address
Marquette Clinic for Women and Children
530 N. 16TH St.
Milwaukee, WI 53201-1881
Phone
(414) 345-3250
Fax
(414) 345-3249
NPI assigned
May 31, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 55699-030 WI Primary

Addresses

Primary practice location

Marquette Clinic for Women and Children
530 N. 16TH St.
Milwaukee, WI 53201-1881

Mailing address

2353 N Lefeber Ave
Wauwatosa, WI 53213-1217
Phone (414) 288-3843

Other identifiers 1

IdentifierTypeStateIssuer
43949500MedicaidWI

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
55699-030WIMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1295738581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2353 N LEFEBER AVE",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532131217",
            "telephone_number": "414-288-3843",
            "fax_number": "414-288-1939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MARQUETTE CLINIC FOR WOMEN AND CHILDREN",
            "address_2": "530 N. 16TH ST.",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532011881",
            "telephone_number": "414-345-3250",
            "fax_number": "414-345-3249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "CHRISTINE",
        "middle_name": "R",
        "credential": "PHD, APRN-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-31",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "55699-030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43949500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.