Brooke Allison Shaw, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN279628 Issued in GA

Practice address

1390 Market St Ste 200
San Francisco, CA 94102-5404

Phone

(800) 504-5360

NPI assigned

Jan 28, 2022

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

Other names 1

• Brooke Allison Hummel Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1643328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1497408645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 MEADOW SPRING CT",
            "city": "TEMPLE",
            "state": "GA",
            "postal_code": "301795090",
            "telephone_number": "770-843-3529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 MARKET ST STE 200",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941025404",
            "telephone_number": "800-504-5360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "BROOKE",
        "middle_name": "ALLISON",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-28",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN279628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BROOKE",
            "last_name": "HUMMEL",
            "middle_name": "ALLISON",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Deandrea Shaverds, PHARMD
• Candace Wan-Ping Shavit, M.D
• Shira Shavit, MD
• Evelyn Shaw Kawahara, CRNA
• Alice Lowe Shaw, PH.D.
• Corey Lynn Shaw, R.N
• Edward Shaw, D.D.S.
• Janet Claire Shaw
• John Pier Shaw
• Julie Gray Shaw, NP

• Registered Nurse in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.