Individual provider Active NPI

Shirlene Ann Daw, NP

  • Family Nurse Practitioner
  • Fresno, CA
National Provider Identifier
1821667155
Registry record updated Jun 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95016126 Issued in CA
Practice address
6069 N 1St St
Fresno, CA 93710-5467
Phone
(559) 431-8900
NPI assigned
Jun 21, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95016126 CA Primary

Addresses

Primary practice location

6069 N 1St St
Fresno, CA 93710-5467

Mailing address

6069 N 1St St
Fresno, CA 93710-5467
Phone (559) 431-8900

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95016126CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Optimal Hospice, Inc. CurrentSince Apr 30, 2023 Accepting new patients

Locations

2787 W Bullard Ave
Ste 101
Fresno, CA 93711
Phone (559) 320-4000

206 N 2100 W
Ste 202
Slc, UT 84116
Phone (801) 325-0175

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1624233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1821667155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6069 N 1ST ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105467",
            "telephone_number": "559-431-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6069 N 1ST ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105467",
            "telephone_number": "559-431-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAW",
        "first_name": "SHIRLENE",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-21",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95016126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.