Riley Shaw

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

206111 Issued in ND

Practice address

1451 44TH Ave S
Grand Forks, ND 58201-3434

Phone

(701) 787-5800

Fax

(701) 780-5802

NPI assigned

Oct 12, 2026

Last updated

Oct 12, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1791763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791763200000",
    "number": "1306741129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "762 SHELBY CT NE",
            "city": "THOMPSON",
            "state": "ND",
            "postal_code": "582789412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 44TH AVE S",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582013434",
            "telephone_number": "701-787-5800",
            "fax_number": "701-780-5802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "RILEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-12",
        "last_updated": "2026-10-12",
        "certification_date": "2026-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ND",
            "license": "206111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Nicole Shaft, M.S. CCC-SLP
• Mokhtarodin Shakibani, MD
• Kimberly Shamakian
• Sharehouse Grand Forks
• Kamal Sharma
• Anne Marie Sheldon, PT
• Frank J Shelton, MD
• Daniel Shenoda, MD
• Kelsey Shepley, MT-BC/L
• Jana Kaye Sherry, RN

• Family Nurse Practitioner in Grand Forks, ND
• Providers in Grand Forks, ND by specialty
• Family Nurse Practitioner in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.