Active NPI
Norma J Shaw, RN, MS, CS
- Psychiatric/Mental Health Clinical Nurse Specialist
- Swansea, MA
National Provider Identifier
1376652875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Clinical Nurse Specialist
- License
- 91459
- Practice address
- 1162 G a R Hwy
Suite 1
Swansea, MA 02777-4224 - Phone
- (508) 674-0038
- Fax
- (508) 673-1638
- NPI assigned
- Aug 29, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0808X | 91459 | MA | Primary |
Addresses
Primary practice location
1162 G a R Hwy
Suite 1
Swansea, MA 02777-4224
Mailing address
1162 G a R Hwy
Suite 1
Swansea, MA 02777-4224
Phone (508) 674-0038
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851870 | Medicaid | MA | |
| 6209971 | Other | MA | UBH |
| 20025A | Other | MA | VALUE OPTIONS |
| PN0310 | Other | MA | BC BS OF MASS |
| 771650 | Other | MA | TUFTS |
| 407177 | Other | MA | BLUE CHIP |
| 3475-1 | Other | MA | BC BS OF RI |
| P2099943 | Other | OXFORD HEALTH PLANS |
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)
- Enrolled
- Credentials
- Certified Nurse Specialist, Master of Science, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 91459 | MA | MD | Psychiatric/Mental Health Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376652875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1162 G A R HWY",
"address_2": "SUITE 1",
"city": "SWANSEA",
"state": "MA",
"postal_code": "027774224",
"telephone_number": "508-674-0038",
"fax_number": "508-673-1638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1162 G A R HWY",
"address_2": "SUITE 1",
"city": "SWANSEA",
"state": "MA",
"postal_code": "027774224",
"telephone_number": "508-674-0038",
"fax_number": "508-673-1638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAW",
"first_name": "NORMA",
"middle_name": "J",
"name_prefix": "Ms.",
"credential": "RN, MS, CS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "364SP0808X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
"state": "MA",
"license": "91459",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1851870",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBH",
"identifier": "6209971",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "20025A",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS OF MASS",
"identifier": "PN0310",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "771650",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHIP",
"identifier": "407177",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS OF RI",
"identifier": "3475-1",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HEALTH PLANS",
"identifier": "P2099943",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Swansea, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.