Organization Active NPI

Shaw Family Practice PC

  • Chiropractor
  • Fort Collins, CO
National Provider Identifier
1366171654
Registry record updated Jun 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SHAW FAMILY PRACTICE PC
Practice address
148 W Oak St Ste C
Fort Collins, CO 80524-2893
Phone
(970) 658-1281
Fax
(970) 844-8884
NPI assigned
Jun 10, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2022

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

Authorized official

Name
Dr. Jo Nell M Shaw, DC, ND
Title
Ceo, Chief Clinician
Phone
(970) 658-1281

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X Primary
Pediatric ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111NP0017X
NaturopathGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 175F00000X

Addresses

Primary practice location

148 W Oak St Ste C
Fort Collins, CO 80524-2893

Mailing address

148 W Oak St Ste C
Fort Collins, CO 80524-2893
Phone (970) 658-1281

National Provider Directory

National Provider Directory

Locations

148 W Oak St
Ste C
Fort Collins, CO 80524
Phone (970) 658-1281

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1654819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654819200000",
    "number": "1366171654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 W OAK ST STE C",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805242893",
            "telephone_number": "970-658-1281",
            "fax_number": "970-844-8884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 W OAK ST STE C",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805242893",
            "telephone_number": "970-658-1281",
            "fax_number": "970-844-8884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAW FAMILY PRACTICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-10",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "JO NELL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO, CHIEF CLINICIAN",
        "authorized_official_telephone_number": "970-658-1281",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, ND"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "111NP0017X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2022; 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.