Richard Anthony Shaw, CAMFT

Primary specialty

Health EducatorTaxonomy code 174H00000X

License

2N96-341-0804 Issued in CA

Practice address

214 SW 30TH St
Oklahoma City, OK 73109-6506

Phone

(405) 272-1610

NPI assigned

Aug 25, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Options Unlimited

  • Community/Behavioral Health Agency
  • Oklahoma City, OK
  • NPI 1578881207
  NPD (past)

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

{
    "created_epoch": "1314230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314230400000",
    "number": "1699055459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 W GRAY ST",
            "address_2": "SUITE 406",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730697129",
            "telephone_number": "405-306-8597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 SW 30TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731096506",
            "telephone_number": "405-272-1610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "RICHARD",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "CAMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-25",
        "last_updated": "2011-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "CA",
            "license": "2N96-341-0804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEIN",
            "identifier": "45-1779723",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Harry Allan Shaw, D.PH.
• Jessica Rae Shaw, MS, RD, LD
• Jillian Russell Shaw, FNP-C
• Lindsay Marie Shaw, LCSW
• Marshall David Shaw, M.D.
• Shana R Shaw
• William Shaw, PSY.D.
• Shawn K Lee MD PC
• Shawn Smith, M.D., P.C.
• Pamela J. Shawn, M.S.

• Health Educator in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Health Educator in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2011; 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.