REBECCA SHAW NPI 1245955921

NPI Information

NPI: 1245955921
Provider Name: REBECCA SHAW
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
237 26TH ST
OGDEN, UT
ZIP 84401
Phone: (801) 625-3700
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Rebecca Shaw is a psychiatric/mental health nurse practitioner in Ogden, UT with 1 years of experience. Rebecca Shaw NPI is 1245955921. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduation Year:2023

The provider's business location address is:

237 26TH ST
OGDEN, UT
ZIP 84401-105
Phone: (801) 625-3700

The NPI 1245955921 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/5/2022 and was last updated on 3/4/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor				No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	11765778-4405	UTAH	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	260022408	OTHER	UTAH	RAILROAD MEDICARE
2	000055266	OTHER	UTAH	MEDICARE PIN
3	8760003008007	MEDICAID	UTAH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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