Kristi Shaw

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2000175708 Issued in MO

Practice address

22 Portwest CT
Saint Charles, MO 63303-5985

Phone

(636) 916-0022

Fax

(636) 916-0023

NPI assigned

Oct 21, 2009

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Four Roses LLC

  • Home Health Agency
  • Saint Charles, MO
  • NPI 1265621700
  NPD (past)

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

{
    "created_epoch": "1256083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256083200000",
    "number": "1598091852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 PORTWEST CT",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633035985",
            "telephone_number": "636-916-0022",
            "fax_number": "636-916-0023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 PORTWEST CT",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633035985",
            "telephone_number": "636-916-0022",
            "fax_number": "636-916-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "KRISTI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-21",
        "last_updated": "2009-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2000175708",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "2000175708",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carlos A Seuc, MD
• Geries S Shaheen, MA, LPC
• Rishad Shaikh, DMD
• Anjul Sharma, M.D
• Linda Sharpe-Taylor
• Bruce Sheade, M.D.
• Allison Callie Shearer, PHARMD
• Sheldon C Cohen DMD PC Dba Premier Dental Partners
• Carmen Renee Shelton, DOULA
• Priya Saigal Shetty, MD

• Occupational Therapist in Saint Charles, MO
• Providers in Saint Charles, MO by specialty
• Occupational Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.