Kaitlyn Marie Shaw, MS, LM/CPM

Primary specialty

MidwifeTaxonomy code 176B00000X

License

MW60783550 Issued in WA

Practice address

2804 Grand Ave Ste 300
Everett, WA 98201-3586

Phone

(360) 447-8214

Fax

(360) 639-6306

NPI assigned

Jun 30, 2017

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

Master of Science

State licenses

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

{
    "created_epoch": "1498780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1396266276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2804 GRAND AVE STE 300",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982013586",
            "telephone_number": "360-447-8214",
            "fax_number": "360-639-6306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2804 GRAND AVE STE 300",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982013586",
            "telephone_number": "360-447-8214",
            "fax_number": "360-639-6306"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2424 165th Pl SE",
            "address_purpose": "LOCATION",
            "city": "Bothell",
            "state": "WA",
            "postal_code": "980126050",
            "country_code": "US",
            "telephone_number": "425-248-0596",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAW",
        "first_name": "KAITLYN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MS, LM/CPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-30",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "WA",
            "license": null,
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Midwife",
            "state": "WA",
            "license": "MW60783550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vikas Sharotri, MD
• Cecile Marie Sharp, MSW
• Barbara Anne Sharpe
• Jasmine Sydney Shaw, RAAC
• Jennifer L. Shaw
• Kathleen Riane Shaw
• Kevin D Shaw, N.D. , L.AC.
• Phillip Andrew Shaw, DPM
• Steven M Shaw, MD
• Yasmin Shayesteh

• Midwife in Everett, WA
• Providers in Everett, WA by specialty
• Midwife in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.