Lakieshia Corall Shaw, PHLEBOTOMIST

Primary specialty

TechnicianTaxonomy code 374700000X

License

651006 Issued in TX

Practice address

14309 Sandiland
San Antonio, TX 78217-6409

Phone

(214) 609-4363

NPI assigned

Nov 6, 2018

Last updated

Nov 6, 2018By the provider in NPPES

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

State licenses

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

{
    "created_epoch": "1541462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541462400000",
    "number": "1306314422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14309 SANDILAND",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782176409",
            "telephone_number": "214-609-4363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14309 SANDILAND",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782176409",
            "telephone_number": "214-609-4363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "LAKIESHIA",
        "middle_name": "CORALL",
        "name_prefix": "Ms.",
        "credential": "PHLEBOTOMIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-06",
        "last_updated": "2018-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374700000X",
            "taxonomy_group": "",
            "desc": "Technician",
            "state": "TX",
            "license": "651006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Sydney Shaw
• Christine Ann Shaw
• Clifford R Shaw, MD
• Cory Shaw, L.AC.
• Kasey Jean Shaw, PTA
• Leornora Olymphia Williams Shaw, MD
• Lisa Shaw, MD
• Margaret Ann Shaw, MSN, APRN, FNP-C
• Melissa Shaw
• Nancy L Shaw, PHD., CCC-SLP/L

• Technician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Technician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2018; 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.