Individual provider Active NPI

Laprece Shaw, STNA/LPN

  • Nurse's Aide
  • Taylor, MI
National Provider Identifier
1801568191
Registry record updated Oct 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
230014192390608 Issued in MI
Practice address
5981 Marvin St
Taylor, MI 48180-1188
Phone
(419) 984-6982
NPI assigned
Oct 4, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X 32222191440512 OH
Nurse's Aide 376K00000X 230014192390608 MI Primary

Addresses

Primary practice location

5981 Marvin St
Taylor, MI 48180-1188

Mailing address

3 Ravine Park VLG
Toledo, OH 43605-4905
Phone (419) 984-6982

Other practice location 1

3 Ravine Park Vlg
Toledo, OH 43605-4905
Phone (419) 984-6982

Other practice location 2

3 Ravine Park Vlg
Toledo, OH 43605-4905
Phone (419) 984-6982

Other names 1

  • Laprece Myca Shaw Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address laprece.shaw@sctoday.edu Direct

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

LicenseStateTypeSpecialty
32222191440512OHMDNursing Care Agency
230014192390608MIMDNurse's Aide

NPI Registry JSON

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

{
    "created_epoch": "1633305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633305600000",
    "number": "1801568191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 RAVINE PARK VLG",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436054905",
            "telephone_number": "419-984-6982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5981 MARVIN ST",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481801188",
            "telephone_number": "419-984-6982"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Ravine Park Vlg",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436054905",
            "country_code": "US",
            "telephone_number": "419-984-6982",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3 Ravine Park Vlg",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436054905",
            "country_code": "US",
            "telephone_number": "419-984-6982",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAW",
        "first_name": "LAPRECE",
        "name_prefix": "Ms.",
        "credential": "STNA/LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-04",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "OH",
            "license": "32222191440512",
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "MI",
            "license": "230014192390608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "laprece.shaw@sctoday.edu",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5981 Marvin St",
            "city": "Taylor",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481801188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LAPRECE",
            "last_name": "SHAW",
            "middle_name": "MYCA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Taylor, MI

Sources for this page

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