Marci Shaw

Primary specialty

Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X

License

201240527RN Issued in OR

Practice address

1052 SW 4TH Ave Ste 2
Ontario, OR 97914-2100

Phone

(541) 216-6068

NPI assigned

Oct 7, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1665100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1932824380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3186 NW 7TH AVE",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "979141246",
            "telephone_number": "541-212-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1052 SW 4TH AVE STE 2",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "979142100",
            "telephone_number": "541-216-6068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "MARCI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-07",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "201240527RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Geniece Scott, RD
• Samantha Scudder
• Alexis Yvonne Sederberg
• Annette Serrano
• Misty Shaffer
• Sheibani LLC
• Tess Diane Shellenbarger, LCPC, LPC, MAC, CADC
• Sandra I Shelton, QMHP
• Devona Lynn Shepard
• Gabierelle Ann Sherry

• Addiction (Substance Use Disorder) Registered Nurse in Ontario, OR
• Providers in Ontario, OR by specialty
• Addiction (Substance Use Disorder) Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; 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.