Tecresha Shaw, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9108150 Issued in FL

Practice address

104 NW 145TH St
Miami, FL 33168-4930

Phone

(305) 807-1943

NPI assigned

Apr 9, 2015

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1428537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428537600000",
    "number": "1427444033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 NW 145TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331684930",
            "telephone_number": "305-807-1943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 NW 145TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331684930",
            "telephone_number": "305-807-1943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "TECRESHA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-09",
        "last_updated": "2015-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9108150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jon A Shaw, MD
• Madison Carmela Shaw, RD
• Mariame Melissa Shaw, MD
• Ryan Patrick Shaw, PA-C
• Sara Beth Shaw, RT
• Shaye Family Practice Inc
• Katherine Louise Shea, M.D.
• Sean M Shea, MD
• Samantha L Shear, DO
• Charles Lloyd Shearer, MD

• Medical Physician Assistant in Miami, FL
• Providers in Miami, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2015; 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.