Active NPI
Carol Shaw
- Registered Nurse
- Bronx, NY
National Provider Identifier
1760944250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 474563
- Practice address
- 926 Wheeler Ave
Bronx, NY 10473-4513 - Phone
- (917) 214-7624
- NPI assigned
- Apr 3, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 474563 | NY | Primary |
Addresses
Primary practice location
926 Wheeler Ave
Bronx, NY 10473-4513
Mailing address
926 Wheeler Ave
Bronx, NY 10473-4513
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 474563 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 474563 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554249600000",
"number": "1760944250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "926 WHEELER AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104734513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "926 WHEELER AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104734513",
"telephone_number": "917-214-7624"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAW",
"first_name": "CAROL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-03",
"last_updated": "2019-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "474563",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "474563",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.