Leslie Koziar Shaw, RN,FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

589929 Issued in TX

Practice address

3305 101St St
Suite 100
Lubbock, TX 79423-4076

Phone

(806) 281-3431

NPI assigned

Sep 20, 2006

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

Other names 1

• Leslie Susan Shaw Professional name

Medicare fee-for-service enrollment

Enrolled in TX, WA, MT, OR, MO, AZ, NV, UT8 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 8

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lshaw21123@carelonhealth.direct-ci.com

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.

• Carelon Medical Partners of Texas PA

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Houston, TX
  • NPI 1508267535
  Medicare reassignment
• Carelon Medical Partners, PC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Nashville, TN
  • NPI 1124443403

  AZ, MO, MT, NV, OR, UT, WA

  Medicare reassignment
• Hamed Abdulsalam Shabaneh Altamimi MD, PLLC

  • Gastroenterology Physician
  • Lubbock, TX
  • NPI 1225786122
  NPD

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446076800000",
    "number": "1386742989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15002 LOUISVILLE AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794236341",
            "telephone_number": "806-281-3431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3305 101ST ST",
            "address_2": "SUITE 100",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794234076",
            "telephone_number": "806-281-3431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "LESLIE",
        "middle_name": "KOZIAR",
        "credential": "RN,FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2015-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "589929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESLIE",
            "last_name": "SHAW",
            "middle_name": "SUSAN",
            "credential": "RN,FNP-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Shaun Hamlett Keel PC
• Sarah Warner Shaver, M.S., OTR
• David Wayne Shaw, CRNA
• Frances Shaw, PHYSICAL THERAPIST
• Jayde Marie Shaw, MSN, APRN, PMHNP
• Yolan Shaw, MD
• Sheila D Shedd
• Stefani Sheen
• Ben Colton Sheets, MD
• Elena Marta Sheets, FNP

• Family Nurse Practitioner in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.