Taci Shaw, MA.LDT

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

2145 Priest Bridge Dr
Suite #4
Crofton, MD 21114-2477

Phone

(443) 449-8689

NPI assigned

Mar 30, 2016

Last updated

Mar 30, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1459296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459296000000",
    "number": "1609239417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2426 VINEYARD LN",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211141114",
            "telephone_number": "443-448-8689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2145 PRIEST BRIDGE DR",
            "address_2": "SUITE #4",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211142477",
            "telephone_number": "443-449-8689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "TACI",
        "name_prefix": "Mrs.",
        "credential": "MA.LDT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-30",
        "last_updated": "2016-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Elizabeth Seay, MS, OTR/L
• Mark Ian Segal, LCSW-C
• Sarah Michel Seibold, PTA
• Karla Sellers, MS, CRNP
• Chantel Dominique Shaw
• Rosalind Renee Sheppard, PH.D.
• Sherri Dibatttista
• Evette Shields
• Mark Ehren Shires, ATC
• Bailie Siddiqui, IBCLC

• Specialist in Crofton, MD
• Providers in Crofton, MD by specialty
• Specialist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2016; 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.