Cecily Helen Shaw-Scala, FNP C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

200250002NP-PP Issued in OR

Practice address

555 Black Oak Dr
Medford, OR 97504-8447

Phone

(541) 789-2273

NPI assigned

Dec 13, 2005

Last updated

Jul 31, 2019By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• McCloud Healthcare Clinic, Inc.

  dba Shasta Cascade Health Centers

  • Federally Qualified Health Center (FQHC)
  • McCloud, CA
  • NPI 1164428488
  Medicare reassignment NPD
• All Family Health Care

  • Primary Care Clinic/Center
  • Yreka, CA
  • NPI 1497937817
  NPD (past) Authorized official
• McCloud Healthcare Clinic, Inc.

  dba Shasta Cascade Health Centers- Dunsmuir

  • Federally Qualified Health Center (FQHC)
  • Dunsmuir, CA
  • NPI 1376893420
  NPD
• McCloud Healthcare Clinic, Inc.

  • Dentist
  • Dunsmuir, CA
  • NPI 1457059768
  NPD
• Deborah Ann Higer

  dba Shasta Family Care

  • Family Health Clinical Nurse Specialist
  • Mount Shasta, CA
  • NPI 1902183098
  NPD (past)
• Ronald L. Renard MD, Inc.

  • Allergy & Immunology Physician
  • Redding, CA
  • NPI 1437556644
  NPD (past)
• Sierra Nevada Management Services

  dba Sleep Diagnostics of Chico

  • Sleep Disorder Diagnostic Clinic/Center
  • Chico, CA
  • NPI 1669426698
  NPD (past)

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564531200000",
    "number": "1447235585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 E BARNETT RD",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048332",
            "telephone_number": "541-789-8176",
            "fax_number": "541-789-4806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 BLACK OAK DR",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048447",
            "telephone_number": "541-789-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW-SCALA",
        "first_name": "CECILY",
        "middle_name": "HELEN",
        "name_prefix": "Mrs.",
        "credential": "FNP C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-13",
        "last_updated": "2019-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "418864",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "200250002NP-PP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "NP0077740",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anu Sharma, APRN
• Sanjeev Sharma, MD
• Justin M Sharp, CRM
• Kyle Sharp
• Diane Marie Shaver, O.D.
• Aubrey Shaw
• Crystal Shaw
• Emily Louise Shaw, LCSW
• Sara Shaw
• Devin Shea

• Family Nurse Practitioner in Medford, OR
• Providers in Medford, OR by specialty
• Family Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2019; 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.