Jacqueline Lois Shaw, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

4092241 Issued in NY

Practice address

661 Franklin Street
Springville, NY 14141

Phone

(716) 592-4807

NPI assigned

Jul 24, 2008

Last updated

Jul 24, 2008By 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

Other names 1

• Miss Jacqueline Lois Call Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216857600000",
    "number": "1356506885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "661 FRANKLIN STREET",
            "city": "SPRINGVILLE",
            "state": "NY",
            "postal_code": "14141",
            "telephone_number": "716-592-4807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 FRANKLIN STREET",
            "city": "SPRINGVILLE",
            "state": "NY",
            "postal_code": "14141",
            "telephone_number": "716-592-4807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "JACQUELINE",
        "middle_name": "LOIS",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-24",
        "last_updated": "2008-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "4092241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "CALL",
            "middle_name": "LOIS",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amy Elizabeth Schmitt-Kingston, DDS
• Nicole Elizabeth Schulz
• Katrina Sebzda, LMHC
• Service Medical
• Stephan D Seybolt
• Tara Lynn Sherman, LMHC
• Vincent Sherman
• Lauralee Sibiga, PA-C
• Melissa A Sikora, M.S., ED
• Nicole Danielle Siminski, COTA/L

• Registered Nurse in Springville, NY
• Providers in Springville, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; 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.