Active NPI
Lucinda Shaw, CNM MSN
- Advanced Practice Midwife
- Spring Hill, FL
National Provider Identifier
1891864187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- ARNP9269687
- Practice address
- 11175 County Line Rd
Spring Hill, FL 34609-5615 - Phone
- (352) 686-8888
- Fax
- (352) 684-6888
- NPI assigned
- Nov 8, 2006
- Last updated
- Jul 13, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | ARNP 9269687 | FL | |
| Advanced Practice Midwife | 367A00000X | 25ME00026801 | NJ | |
| Advanced Practice Midwife | 367A00000X | ARNP9269687 | FL | Primary |
Addresses
Primary practice location
11175 County Line Rd
Spring Hill, FL 34609-5615
Mailing address
11175 County Line Rd
Spring Hill, FL 34609-5615
Phone (352) 686-8888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 308772700 | Medicaid | FL |
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
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP 9269687 | FL | MD | Obstetrics & Gynecology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| One-Care OB/GYN | Past | Accepting new patients | |
| Amante N. Decastro, M.D., P.a. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Obstetrics Physician
- Salem, NJ
- NPI 1952528101
-
- Obstetrics & Gynecology Physician
- East Orange, NJ
- NPI 1285736272
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468368000000",
"number": "1891864187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11175 COUNTY LINE RD",
"city": "SPRING HILL",
"state": "FL",
"postal_code": "346095615",
"telephone_number": "352-686-8888",
"fax_number": "352-684-6888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11175 COUNTY LINE RD",
"city": "SPRING HILL",
"state": "FL",
"postal_code": "346095615",
"telephone_number": "352-686-8888",
"fax_number": "352-684-6888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAW",
"first_name": "LUCINDA",
"credential": "CNM MSN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-08",
"last_updated": "2016-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "FL",
"license": "ARNP 9269687",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "NJ",
"license": "25ME00026801",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "FL",
"license": "ARNP9269687",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "308772700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Spring Hill, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.