Patrice Monique Shaw, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

763514 Issued in NY

Practice address

1881 Park Ave
New York, NY 10035-1128

Phone

(212) 427-1342

NPI assigned

Jun 25, 2019

Last updated

Jun 25, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Addicts Rehabilitation Center Fund Inc.

  • Substance Abuse Rehabilitation Facility
  • New York, NY
  • NPI 1912376062
  NPD (past)

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

{
    "created_epoch": "1561420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561420800000",
    "number": "1962063578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 E 175TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104576802",
            "telephone_number": "347-778-8971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1881 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100351128",
            "telephone_number": "212-427-1342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "PATRICE",
        "middle_name": "MONIQUE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-25",
        "last_updated": "2019-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "763514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "pshaw@addictsrehabfund.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1881 Park Ave",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100351128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jocelyn Shaw
• Jovanna Shaw
• Katherine Shaw
• Lucy Shaw, LMSW
• Marc S Shaw, L.C.S.W.
• Rebecca Lynn Shaw, LCSW
• Rebecca Madeleine Shaw, LMSW
• Ronald P Shaw, MD
• Ronda Shaw, M.D.
• Sabrina Shaw, LMSW

• Registered Nurse in New York, NY
• Providers in New York, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; 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.