Active NPI
Chandra Angelica Shaw
- Nurse Practitioner
- Thornton, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APN.0994932-NP
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 61527785 | WA | MD | Nurse Practitioner |
| APN.0994932-NP | CO | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Infusion for Health, P.C. | Current | Accepting new patients | |
| Goodness Health, LLC | Current | Accepting new patients | |
| Goodness Health, LLC | Current | Accepting new patients | |
| Infusion Management, Inc. | Current | Accepting new patients | |
| Infusion for Health, P.C. | Nurse Practitioner | Current | Accepting new patients |
| Infusion4Health | Nurse Practitioner | Current | Accepting new patients |
| Performax Front Range Physical Therapy LLC | Past | Accepting new patients | |
| Dennis J O'Connell, DO, PC | Past | 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.
-
- Infusion Therapy Clinic/Center
- Thornton, CO
- NPI 1891433470
Nurse Practitioner
-
dba Infusion for Health
- Infusion Therapy Clinic/Center
- Thousand Oaks, CA
- NPI 1508262213
Nurse Practitioner, WA
-
- Multi-Specialty Clinic/Center
- Denver, CO
- NPI 1609241264
-
dba Infusion For Health
- Infusion Therapy Clinic/Center
- Fort Collins, CO
- NPI 1932952777
-
dba Goodness Health - Utah
- Internal Medicine Physician
- Centerville, UT
- NPI 1407659998
-
dba Infusion For Health
- Infusion Therapy Clinic/Center
- Bellevue, WA
- NPI 1477294494
-
dba InSight Retina Consultants, PC
- Ophthalmology Physician
- Aurora, CO
- NPI 1669438669
-
- Physical Therapist
- Denver, CO
- NPI 1093877565
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.