Individual provider Active NPI

Chandra Angelica Shaw

  • Nurse Practitioner
  • Thornton, CO
National Provider Identifier
1689221459
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN.0994932-NP Issued in CO
Practice address
9351 Grant St Ste 110
Thornton, CO 80229-4364
Phone
(887) 777-1945
Fax
(805) 413-9099
NPI assigned
Aug 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 61527785 WA
Nurse Practitioner 363L00000X 95025482 CA
Acute Care Nurse Practitioner 363LA2100X APN.0994932-NP CO
Nurse Practitioner 363L00000X APN.0994932-NP CO Primary

Addresses

Primary practice location

9351 Grant St Ste 110
Thornton, CO 80229-4364

Mailing address

135 S State College Blvd Ste 350
Brea, CA 92821-5814
Phone (888) 777-1945

Other practice location 1

12605 E 16th Ave
Aurora, CO 80045-2545
Phone (720) 848-6400

Other practice location 2

8200 E Belleview Ave Ste 505E
Greenwood Village, CO 80111-2978
Phone (888) 777-1945

Other practice location 3

915 118th Ave SE Ste 100
Bellevue, WA 98005-3875
Phone (888) 777-1945

Other practice location 4

6100 219th St SW Ste 370
Mountlake Terrace, WA 98043-2222
Phone (888) 777-1945

Other practice location 5

333 University Ave Ste 140
Sacramento, CA 95825-6535
Phone (888) 777-1945

Other practice location 6

9033 Wilshire Blvd Ste 401
Beverly Hills, CA 90211-1847
Phone (888) 777-1945

Other practice location 7

625 Citracado Pkwy Ste 204
Escondido, CA 92025-6428
Phone (888) 777-1945

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, CA, WA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20200108002529 CO Practitioner - Nurse Practitioner 6709211337 Reassigns benefits to 1 organization
I20230802003918 CA Practitioner - Nurse Practitioner 6709211337 Reassigns benefits to 1 organization
I20240303000200 WA Practitioner - Nurse Practitioner 6709211337 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Infusion4HealthGroup PAC ID 9032433206, 23 clinicians
Infusion for Health, P.C.Group PAC ID 9830573179, 5 clinicians

Practice addresses (Care Compare)

24355 Lyons Ave
Suite 211
Santa Clarita, CA 91321-2382
Phone (888) 777-1945

3555 Stanford Rd
Suite 115
Fort Collins, CO 80525-4679
Phone (888) 777-1945

915 118TH Ave SE
Suite 100
Bellevue, WA 98005-3875
Phone (888) 777-1945

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
61527785WAMDNurse Practitioner
APN.0994932-NPCOMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Infusion for Health, P.C. CurrentSince Apr 14, 2024 Accepting new patients
Goodness Health, LLC CurrentSince Mar 6, 2022 Accepting new patients
Goodness Health, LLC CurrentSince Mar 6, 2022 Accepting new patients
Infusion Management, Inc. CurrentSince Mar 27, 2024 Accepting new patients
Infusion for Health, P.C. Nurse Practitioner CurrentSince Aug 1, 2022 Accepting new patients
Infusion4Health Nurse Practitioner CurrentSince Mar 27, 2024 Accepting new patients
Performax Front Range Physical Therapy LLC PastSince Dec 2, 2016 Accepting new patients
Dennis J O'Connell, DO, PC PastSince Oct 1, 2021 Accepting new patients

Locations (25 of 31)

1104 Buchanan Rd
Ste B5
Antioch, CA 94509
Phone (925) 757-9012

8339 Brimhall Rd
Ste 1301
Bakersfield, CA 93312

9033 Wilshire Blvd
Ste 401
Beverly Hills, CA 90211
Phone (310) 273-1003

135 S State College Blvd
Ste 350
Brea, CA 92821

625 Citracado Pkwy
Ste 204
Escondido, CA 92025
Phone (760) 294-9255

1125 E Spruce Ave
Ste 201
Fresno, CA 93720
Phone (559) 896-0400

2720 N Harbor Blvd
Ste 200
Fullerton, CA 92835
Phone (714) 449-6900

501 N Central Ave
Glendale, CA 91203
Phone (805) 505-7757

1400 Reynolds Ave
Ste 201202
Irvine, CA 92614

8881 Fletcher Pkwy
Ste 385
La Mesa, CA 91942
Phone (619) 460-0137

79440 Corporate Center Dr
Ste 100
La Quinta, CA 92253

79440 Corporate Center Dr
Ste 101
La Quinta, CA 92253
Phone (760) 777-4067

24012 Calle de la Plata
Ste 230
Laguna Hills, CA 92653
Phone (805) 505-7757

3300 Webster St
Ste 900
Oakland, CA 94609
Phone (510) 834-3700

6485 Day St
Ste 302
Riverside, CA 92507
Phone (951) 571-2450

333 University Ave
Ste 140
Sacramento, CA 95825
Phone (916) 333-5800

4520 Executive Dr
Ste 227
San Diego, CA 92121
Phone (619) 333-3515

24355 Lyons Ave
Ste 211
Santa Clarita, CA 91321
Phone (661) 255-6644

2121 Wilshire Blvd
Ste 303
Santa Monica, CA 90403
Phone (310) 264-1777

5620 Wilbur Ave
Ste 310
Tarzana, CA 91356
Phone (323) 886-3368

27555 Ynez Rd
Ste 370
Temecula, CA 92591
Phone (951) 699-3299

77 Rolling Oaks Dr
Ste 201
Thousand Oaks, CA 91361
Phone (805) 505-7753

23456 Hawthorne Blvd
Ste 140
Torrance, CA 90505

440 N Mountain Ave
Ste 103
Upland, CA 91786

1981 N Broadway
Ste 190
Walnut Creek, CA 94596
Phone (925) 932-7715

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1689221459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 S STATE COLLEGE BLVD STE 350",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928215814",
            "telephone_number": "888-777-1945",
            "fax_number": "805-413-9099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9351 GRANT ST STE 110",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802294364",
            "telephone_number": "887-777-1945",
            "fax_number": "805-413-9099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12605 E 16th Ave",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800452545",
            "country_code": "US",
            "telephone_number": "720-848-6400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8200 E Belleview Ave Ste 505E",
            "address_purpose": "LOCATION",
            "city": "Greenwood Village",
            "state": "CO",
            "postal_code": "801112978",
            "country_code": "US",
            "telephone_number": "888-777-1945",
            "fax_number": "805-413-9099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "915 118th Ave SE Ste 100",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980053875",
            "country_code": "US",
            "telephone_number": "888-777-1945",
            "fax_number": "805-413-9099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6100 219th St SW Ste 370",
            "address_purpose": "LOCATION",
            "city": "Mountlake Terrace",
            "state": "WA",
            "postal_code": "980432222",
            "country_code": "US",
            "telephone_number": "888-777-1945",
            "fax_number": "805-413-9099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "333 University Ave Ste 140",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958256535",
            "country_code": "US",
            "telephone_number": "888-777-1945",
            "fax_number": "805-413-9099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9033 Wilshire Blvd Ste 401",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "CA",
            "postal_code": "902111847",
            "country_code": "US",
            "telephone_number": "888-777-1945",
            "fax_number": "805-413-9099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "625 Citracado Pkwy Ste 204",
            "address_purpose": "LOCATION",
            "city": "Escondido",
            "state": "CA",
            "postal_code": "920256428",
            "country_code": "US",
            "telephone_number": "888-777-1945",
            "fax_number": "805-413-9099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAW",
        "first_name": "CHANDRA",
        "middle_name": "ANGELICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-26",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "61527785",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95025482",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CO",
            "license": "APN.0994932-NP",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "APN.0994932-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thornton, CO

Sources for this page

Verify at the official NPI Registry.