Christine Ann Shaw

Primary specialty

ContractorTaxonomy code 171W00000X

Practice address

4319 Temple HL
San Antonio, TX 78217-1317

Phone

(210) 574-5481

Fax

(210) 783-8036

NPI assigned

Mar 31, 2021

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1617148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1538747407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4319 TEMPLE HL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782171317",
            "telephone_number": "210-574-5481",
            "fax_number": "210-783-8036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4319 TEMPLE HL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782171317",
            "telephone_number": "210-574-5481",
            "fax_number": "210-783-8036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "CHRISTINE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-31",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Joan Shaw-Meadow, MA, LPC
• Amie Shaw, LVN
• April Patricia Shaw, PA-C
• Brandye Shaw
• Catherine Sydney Shaw
• Clifford R Shaw, MD
• Cory Shaw, L.AC.
• Kasey Jean Shaw, PTA
• Lakieshia Corall Shaw, PHLEBOTOMIST
• Leornora Olymphia Williams Shaw, MD

• Contractor in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Contractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; 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.