Individual provider Active NPI

Dana M Shaw, APRN

  • Nurse Practitioner
  • Salt Lake City, UT
National Provider Identifier
1871532101
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
224930-4405 Issued in UT
Practice address
4624 Holladay Blvd
Salt Lake City, UT 84117-5206
Phone
(801) 277-2682
Fax
(801) 277-2980
NPI assigned
Jun 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 224930-4405 UT Primary

Addresses

Primary practice location

4624 Holladay Blvd
Salt Lake City, UT 84117-5206

Mailing address

4624 Holladay Blvd
Salt Lake City, UT 84117-5206
Phone (801) 277-2682

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040126000433 UT Practitioner - Nurse Practitioner 4880596196 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Olympus ClinicGroup PAC ID 8921991506, 10 clinicians

Practice addresses (Care Compare)

4624 S Holladay Blvd
Suite 100
Salt Lake City, UT 84117-7056
Phone (801) 277-2682

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Olympus Clinic Family Medicine CurrentSince Oct 1, 2003 Accepting new patients

Locations

4624 S Holladay Blvd
Ste 100
Salt Lake Cty, UT 84117
Phone (801) 277-2682

4624 S Holladay Blvd
Slc, UT 84117
Phone (801) 277-1028

Interoperability endpoints

  • Direct secure messaging: dana.shaw@27705477693444.direct.elationemr.com

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1871532101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4624 HOLLADAY BLVD",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841175206",
            "telephone_number": "801-277-2682",
            "fax_number": "801-277-2980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4624 HOLLADAY BLVD",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841175206",
            "telephone_number": "801-277-2682",
            "fax_number": "801-277-2980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "DANA",
        "middle_name": "M",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-05",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "224930-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.