Brooke A Shaw, BA, CLC

Primary specialty

DoulaTaxonomy code 374J00000X

Practice address

10030 Manchester Rd
Saint Louis, MO 63122-1832

Phone

(314) 714-4137

NPI assigned

Mar 9, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348963200000",
    "number": "1386776243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 510384",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631510384",
            "telephone_number": "314-714-4137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10030 MANCHESTER RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631221832",
            "telephone_number": "314-714-4137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "BROOKE",
        "middle_name": "A",
        "credential": "BA, CLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2012-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaw Park Dental LLC
• Tracy Zelphia Shaw-Reese, F02180750
• Amy Michelle Shaw, RNC, NNP
• Angela Marie Shaw, MD
• Britain Laine Shaw
• Candice Vasquez Shaw, MSPT
• David L Shaw, M.D.
• Jasmine Shaw
• Joshua Antoine Colin Shaw, MD
• Katherine Louis Shaw

• Doula in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Doula in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2012; 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.