Phyliss Joy Shaw, BSHE

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

2011 Chapel Hill Rd
Durham, NC 27707-1109

Phone

(919) 323-7357

NPI assigned

Jan 18, 2018

Last updated

Jan 18, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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": "1516233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516233600000",
    "number": "1639687197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 CHAPEL HILL RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277071109",
            "telephone_number": "919-323-7357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 CHAPEL HILL RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277071109",
            "telephone_number": "919-323-7357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "PHYLISS",
        "middle_name": "JOY",
        "credential": "BSHE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-18",
        "last_updated": "2018-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremy Shaw, M.D.
• Keemia Hurst Shaw, MSW
• Leslie A Shaw, M.A.
• Miyah Antionette Shaw
• Oreon S Shaw, LMSW
• Aaron Shay, LMBT
• David Joseph Yehuda Shaz, MD
• Erin Victoria Shea, M.D
• Samantha Larie Sheafer
• Sabrina Michelle Shearer, MD

• Community Health Worker in Durham, NC
• Providers in Durham, NC by specialty
• Community Health Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2018; 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.