Shelby Ann Shaw

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN2370534 Issued in MA

Practice address

116 Long Pond Rd
Plymouth, MA 02360-2663

Phone

(800) 865-3384

NPI assigned

Aug 23, 2024

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

Enrolled in MA

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Boswell Medical Group, P.a.

  • Dermatology Physician
  • Miami, FL
  • NPI 1477382620

  MA

  Medicare reassignment NPD
• Boswell, Inc.

  • Case Management Agency
  • Providence, RI
  • NPI 1538939426
  NPD (past)

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

{
    "created_epoch": "1724371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1689407660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 PLYMOUTH ST",
            "city": "HOLBROOK",
            "state": "MA",
            "postal_code": "023431922",
            "telephone_number": "401-497-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 LONG POND RD",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023602663",
            "telephone_number": "800-865-3384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "SHELBY",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-23",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2370534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sanaa Shafai
• Deborah S. Shapiro, M.ED.
• Aman Sharma, M.D.
• Denise Sharp
• Michael Paul Shaughnessy Jr., MD
• Shaws Supermarkets Inc
• Melissa Lynn Shea, LMHC
• Jamie Lyn Sheaffer, MS, OTR/L
• Erin Marie Shekane
• Jiangyun Sheng, D.M.D

• Family Nurse Practitioner in Plymouth, MA
• Providers in Plymouth, MA by specialty
• Family Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.