Individual provider Active NPI

Barbara Shaw, APN

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1962442608
Registry record updated Jul 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209001421 Issued in IL
Practice address
845 S Damen Ave
Integrated Health Care, Uic College of Nursing, 9TH FL.
Chicago, IL 60612-3727
Phone
(773) 537-3950
Fax
(773) 435-0119
NPI assigned
Jun 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209001421 IL Primary

Addresses

Primary practice location

845 S Damen Ave
Integrated Health Care, Uic College of Nursing, 9TH FL.
Chicago, IL 60612-3727

Mailing address

1128 N Mozart St
Chicago, IL 60622-2718
Phone (773) 235-7036

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070926000546 IL Practitioner - Nurse Practitioner 5092800789 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Board of Trustees of the University of Illinois Current Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Aug 1, 2008 Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Aug 1, 2008 Accepting new patients

Locations

1220 S Wood St
Chicago, IL 60608
Phone (312) 413-1261

7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-6290

845 S Damen Ave
Fl 9
Chicago, IL 60612
Phone (773) 537-3950

Interoperability endpoints

  • Direct secure messaging: barbara.shaw.1@3547.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343174400000",
    "number": "1962442608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1128 N MOZART ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222718",
            "telephone_number": "773-235-7036",
            "fax_number": "773-235-7036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 S DAMEN AVE",
            "address_2": "INTEGRATED HEALTH CARE, UIC COLLEGE OF NURSING, 9TH FL.",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123727",
            "telephone_number": "773-537-3950",
            "fax_number": "773-435-0119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "BARBARA",
        "name_prefix": "Ms.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2012-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209001421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.