Active NPI
Deborah L Shaw, RN
- Registered Nurse
- Brattleboro, VT
National Provider Identifier
1316414774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 026.0022404
- Practice address
- 51 Fairview Street
Brattleboro, VT 05301 - Phone
- (802) 254-6028
- Fax
- (802) 254-7501
- NPI assigned
- Oct 24, 2018
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 026.0022404 | VT | Primary |
Addresses
Primary practice location
51 Fairview Street
Brattleboro, VT 05301
Mailing address
390 River Street
Springfield, VT 05156
Phone (802) 886-4500
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 026.0022404 | VT | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Care and Rehabilitation Services of Southeastern Vermont, Inc. | Past | Accepting new patients | |
| Health Care and Rehabilitation Services of Southeastern Vermont, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Bellows Falls, VT
- NPI 1396962742
-
- Community/Behavioral Health Agency
- Springfield, VT
- NPI 1790861342
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540339200000",
"number": "1316414774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "390 RIVER STREET",
"city": "SPRINGFIELD",
"state": "VT",
"postal_code": "05156",
"telephone_number": "802-886-4500",
"fax_number": "802-886-4560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 FAIRVIEW STREET",
"city": "BRATTLEBORO",
"state": "VT",
"postal_code": "05301",
"telephone_number": "802-254-6028",
"fax_number": "802-254-7501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAW",
"first_name": "DEBORAH",
"middle_name": "L",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-24",
"last_updated": "2018-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "VT",
"license": "026.0022404",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brattleboro, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.