Individual provider Active NPI

Dashonia Shaw, CNA

  • Physical Disabilities Residential Treatment Facility
  • Fresno, CA
National Provider Identifier
1518515618
Registry record updated Aug 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X
License
6053576735 Issued in CA
Practice address
3053 N Delno Ave
Fresno, CA 93705-4015
Phone
(559) 274-2511
NPI assigned
Aug 31, 2019
Last updated
Aug 31, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Disabilities Residential Treatment Facility 320700000X 6053576735 CA Primary

Addresses

Primary practice location

3053 N Delno Ave
Fresno, CA 93705-4015

Mailing address

3053 N Delno Ave
Fresno, CA 93705-4015
Phone (559) 274-2511

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address GenitaHomeCare@outlook.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6053576735CAMDPhysical Disabilities Residential Treatment Facility

NPI Registry JSON

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

{
    "created_epoch": "1567209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567209600000",
    "number": "1518515618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3053 N DELNO AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937054015",
            "telephone_number": "559-274-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3053 N DELNO AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937054015",
            "telephone_number": "559-274-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "DASHONIA",
        "credential": "CNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-31",
        "last_updated": "2019-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "CA",
            "license": "6053576735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "GenitaHomeCare@outlook.com",
            "affiliation": "N",
            "endpointDescription": "GenitaHomeCare@outlook.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3053 N Delno Ave",
            "city": "Fresno",
            "state": "CA",
            "country_code": "US",
            "postal_code": "937054015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

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