Alexandria Shaw, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

902097 Issued in MS

Practice address

103 Halls CV
Senatobia, MS 38668-6620

Phone

(662) 562-9003

NPI assigned

Sep 20, 2017

Sex

Female

Sole proprietor

No

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

Enrolled in TN, MS2 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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: alexandria.shaw.1@14999.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/14999/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Convenient Care Clinic, LLC

  • Family Nurse Practitioner
  • Horn Lake, MS
  • NPI 1851490841
  Medicare reassignment NPD
• Crossroads Urgent Care PLLC

  dba Urgent Team

  • Family Medicine Physician
  • Murfreesboro, TN
  • NPI 1366644361
  Medicare reassignment NPD
• Fast Pace Medical Clinic PLLC

  • Family Medicine Physician
  • Spring Hill, TN
  • NPI 1134452865
  Medicare reassignment NPD
• Convenient Care Clinic, LLC

  • Rural Health Clinic/Center
  • Batesville, MS
  • NPI 1073246773

  Family

  NPD
• Crossroads Urgent Care PLLC

  dba Urgent Team

  • Rural Health Clinic/Center
  • South Pittsburg, TN
  • NPI 1427781129

  Family

  NPD
• Fast Pace Medical Clinic PLLC

  • Rural Health Clinic/Center
  • Chapel Hill, TN
  • NPI 1316602774
  NPD
• All Children's Clinic,PC

  • Pediatrics Physician
  • Senatobia, MS
  • NPI 1265756951
  NPD (past)
• Memphis Radiological, PC

  dba P.E.T. Imaging Center

  • Nuclear Radiology Physician
  • Memphis, TN
  • NPI 1457350514
  NPD (past)

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

{
    "created_epoch": "1505865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1396254561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 HALLS CV",
            "city": "SENATOBIA",
            "state": "MS",
            "postal_code": "386686620",
            "telephone_number": "662-562-9003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 HALLS CV",
            "city": "SENATOBIA",
            "state": "MS",
            "postal_code": "386686620",
            "telephone_number": "662-562-9003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "930 Magnolia Hills Cv",
            "address_purpose": "LOCATION",
            "city": "Hernando",
            "state": "MS",
            "postal_code": "386326031",
            "country_code": "US",
            "telephone_number": "662-449-9230",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3674 Goodman Rd E",
            "address_purpose": "LOCATION",
            "city": "Southaven",
            "state": "MS",
            "postal_code": "386726402",
            "country_code": "US",
            "telephone_number": "662-890-7747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAW",
        "first_name": "ALEXANDRIA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-20",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "22874",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "902097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Senatobia Dental Care, P.C.
• Senatobia Dental Studio PLLC
• Senatobia Family Dentistry
• Senatobia Family Practice, P.C.
• Senatobia Municipal School District
• Ella Shelton, PTA
• Sidhu Pediatrics, LLC (Senatobia Children's Clinic)
• Dawn M Simpson, RPH
• Paul Anthony Sinka, ATC
• Marquita Sledge, PMHNP-BC

• Family Nurse Practitioner in Senatobia, MS
• Providers in Senatobia, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.