Organization Active NPI

Shaw Foster Homes

  • Clinical Social Worker
  • Reno, NV
National Provider Identifier
1760654628
Registry record updated Mar 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3035C Issued in NV
Legal business name
SHAW FOSTER HOMES
Practice address
580 E Plumb LN
Reno, NV 89502-3504
Phone
(775) 826-7474
Fax
(775) 826-7478
NPI assigned
Mar 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2008

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

Authorized official

Name
Ms. Christy L. Shaw
Title
Program Director
Phone
(775) 826-7474

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 3035C NV Primary

Addresses

Primary practice location

580 E Plumb LN
Reno, NV 89502-3504

Mailing address

580 E Plumb LN
Reno, NV 89502-3504
Phone (775) 826-7474

Other identifiers 2

IdentifierTypeStateIssuer
100507800MedicaidNV
09921000032MedicaidNV

National Provider Directory

National Provider Directory
Tax ID family
Shaw Foster Homes2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1760654628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 E PLUMB LN",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895023504",
            "telephone_number": "775-826-7474",
            "fax_number": "775-826-7478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 E PLUMB LN",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895023504",
            "telephone_number": "775-826-7474",
            "fax_number": "775-826-7478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAW FOSTER HOMES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-31",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "775-826-7474",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "3035C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100507800",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09921000032",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; 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.