Individual provider Active NPI

Rita Angela Shaw, APRN, FNP-BC

  • Family Medicine Physician
  • Upper Marlboro, MD
National Provider Identifier
1942186366
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R151515 Issued in MD
Practice address
9904 Red Bird Ter
Upper Marlboro, MD 20772-4784
Phone
(240) 552-5752
NPI assigned
Aug 12, 2025
Sex
Unspecified or another gender identity
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R151515 MD Primary

Addresses

Primary practice location

9904 Red Bird Ter
Upper Marlboro, MD 20772-4784

Mailing address

9904 Red Bird Ter
Upper Marlboro, MD 20772-4784
Phone (240) 552-5752

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
R151515MDMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1754956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1942186366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9904 RED BIRD TER",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207724784",
            "telephone_number": "240-552-5752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9904 RED BIRD TER",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207724784",
            "telephone_number": "240-552-5752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "RITA",
        "middle_name": "ANGELA",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2025-08-12",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "R151515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; 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.