Eddy Lovett Shaw III

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1232 8TH St NW
Salem, OR 97304-3709

Phone

(509) 818-9152

NPI assigned

Jan 20, 2022

Sex

Male

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": "1642636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1699427625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1232 8TH ST NW",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973043709",
            "telephone_number": "509-818-9152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1232 8TH ST NW",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973043709",
            "telephone_number": "509-818-9152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "EDDY",
        "middle_name": "LOVETT",
        "name_suffix": "III",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-20",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Sharpe
• Shasta Hickman Counseling and Coaching PLLC
• Shaun Doll Chiropractic P.C.
• Cynthia Shaver, LPC
• Casey Lewis Shaw, PA-C
• Enoch D Shaw, MD
• Kathy Tran Shaw, M.D.
• Katie Ann Shaw, RDH
• Melanie J Shaw, OT
• Rose N Shaw

• Behavior Technician in Salem, OR
• Providers in Salem, OR by specialty
• Behavior Technician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; 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.