Tricia Shaw

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

54383601 Issued in PA

Practice address

5250 Burton St
Philadelphia, PA 19124-1533

Phone

(610) 348-2934

NPI assigned

Oct 18, 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

Electronic endpoints 1

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": "1666051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1952027120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5250 BURTON ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191241533",
            "telephone_number": "610-348-2934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5250 BURTON ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191241533",
            "telephone_number": "610-348-2934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "TRICIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-18",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "PA",
            "license": "54383601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "softandgentlehomecare@gmail.com",
            "affiliation": "N",
            "endpointDescription": "desktops. and laptops",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5250 Burton St",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191241533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Colleen Marie Shaw
• Geraldine M. Shaw, OT
• Jill Shaw, MS, LPC
• Katharina Stephanie Shaw, MD
• Kathy N Shaw, M.D.
• Vanecia T Shaw, LPN
• Victoria Shaw
• Wei Shaw
• Yewande E Shaw
• Timothy Fred Shawl, MD

• Home Health Registered Nurse in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Home Health Registered Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.