Andrea Lyn Shaw, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00034680 Issued in WA

Practice address

143 Thomas St NW
Olympia, WA 98502-5231

Phone

(360) 302-6285

Fax

(360) 368-3989

NPI assigned

Dec 27, 2006

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)

Enrolled

State licenses

Practice roles

Locations

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.

• Physical Therapy Empowered, PLLC

  • Physical Therapist
  • Olympia, WA
  • NPI 1912538505
  NPD

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576108800000",
    "number": "1598820649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 THOMAS ST NW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985025231",
            "telephone_number": "360-302-6285",
            "fax_number": "360-368-3989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 THOMAS ST NW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985025231",
            "telephone_number": "360-302-6285",
            "fax_number": "360-368-3989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "ANDREA",
        "middle_name": "LYN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR&INDUSTRIES",
            "identifier": "0215506",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole A Sharkody, AAC
• Sharma-Hur PLLC
• Cheyenne Shatner
• John Shattuck, LMHC
• Rosaleen J. Shavron, D.M.D.
• Dana Elise Shaw, MD
• Easton Kirk Shaw
• George Frederick Shaw Jr., MA
• Ryan Tommy Shaw, AAC
• Mira Shea, MSOM. LMT

• Chiropractor in Olympia, WA
• Providers in Olympia, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.