Lavern Victoria Shaw

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN5199350 Issued in FL

Practice address

7901 NW 43Rd St
Coral Springs, FL 33065-1900

Phone

(754) 702-8836

Fax

(754) 702-2621

NPI assigned

Aug 4, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 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.

• L S Holistic Care Assisted Living, LLC.

  • Assisted Living Facility
  • Coral Springs, FL
  • NPI 1033816244
  NPD Authorized official

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

{
    "created_epoch": "1628035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1780358564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 NW 43RD ST",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330651900",
            "telephone_number": "754-702-8836",
            "fax_number": "754-702-2621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 NW 43RD ST",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330651900",
            "telephone_number": "754-702-8836",
            "fax_number": "754-702-2621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "LAVERN",
        "middle_name": "VICTORIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-04",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "PN5199350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.",
            "affiliation": "N",
            "address_1": "7901 NW 43rd St",
            "city": "Coral Springs",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330651900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hina N Sharma, MD
• Kavita Sharma, DO
• Stacy Sanders Shaup, PH.D.
• Erica Shaw
• Joshua Shaw, M.D.
• Dana Jill Shay, LCSW
• Kristen Foley Shay, ARNP
• Maria M Shayan, DMD
• Shaz Worldwide LLC
• Aubrey Sheehan

• Licensed Practical Nurse in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• Licensed Practical Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; 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.