Jeanne Mae Shaw, R.N.

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

406619-1 Issued in NY

Practice address

99 Main St
Delhi, NY 13753-1221

Phone

(607) 746-3166

Fax

(607) 746-3243

NPI assigned

May 26, 2009

Sex

Female

Sole proprietor

Yes

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, last updated by the provider on May 26, 2009.

{
    "created_epoch": "1243296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243296000000",
    "number": "1508091224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 MAIN ST",
            "city": "DELHI",
            "state": "NY",
            "postal_code": "137531221",
            "telephone_number": "607-746-3166",
            "fax_number": "607-746-3243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 MAIN ST",
            "city": "DELHI",
            "state": "NY",
            "postal_code": "137531221",
            "telephone_number": "607-746-3166",
            "fax_number": "607-746-3243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "JEANNE",
        "middle_name": "MAE",
        "name_prefix": "Mrs.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-26",
        "last_updated": "2009-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "406619-1",
            "primary": true
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "NY",
            "license": "406619-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Roman, RD, CDN
• Round the Clock Nurses
• Edith Ann Sabatini, RN
• Baburao N Samudrala, MD
• Sean E Secord, P.A.
• Kyra Shew
• Gilbert Charles Simpkins, FNP
• R. B. Kelley Snodgrass, D.C.
• Peter L Sosnow, MD
• Amy S Soule, CCC-SLP

• All providers in Delhi, NY
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2009; 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.