Jaelyn Shaw, RN

Primary specialty

Emergency Registered NurseTaxonomy code 163WE0003X

License

RN804122 Issued in PA

Practice address

187 Hospital Dr
Tyrone, PA 16686-1808

Phone

(814) 684-1255

NPI assigned

Dec 2, 2025

Last updated

Dec 2, 2025By 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

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": "1764633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1376405936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 UTAHVILLE RD",
            "city": "COALPORT",
            "state": "PA",
            "postal_code": "166279360",
            "telephone_number": "814-330-1683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 HOSPITAL DR",
            "city": "TYRONE",
            "state": "PA",
            "postal_code": "166861808",
            "telephone_number": "814-684-1255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "JAELYN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-02",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "PA",
            "license": "RN804122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alysen Roscia, M.S.,CCC-SLP/L
• Victor H Santillan, MD
• John A Schroth, PA
• Shane Sergent, DO
• Kaitlin Shanafelt
• Marianne L Shaw, M.D.
• Jacob Richard Shelow
• Timothy Stephen Skarada, PT
• Robert James Sloss, DMD
• Angela Sloter, MA LBS BCBA

• Emergency Registered Nurse in Tyrone, PA
• Providers in Tyrone, PA by specialty
• Emergency Registered Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; 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.