Provider Type Icon

MR. MICHAEL SHAW ARNP NPI 1497765242


NPI Information

NPI: 1497765242
Provider Name: MR. MICHAEL SHAW, ARNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
12550 NEW BRITTANY BLVD
FORT MYERS, FL
ZIP 33907
Phone: (239) 343-9180
Get Directions

MR. Michael Shaw, ARNP is a psychiatric/mental health nurse practitioner in Fort Myers, FL. MR. Michael Shaw, ARNP NPI is 1497765242. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

12550 NEW BRITTANY BLVD
FORT MYERS, FL
ZIP 33907-655
Phone: (239) 343-9180
Fax: (239) 343-9188

The enumeration date for this NPI number is 8/8/2006 and was last updated on 12/31/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthARNP9220477FLORIDAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1CM016YMEDICARE PINFLORIDA
2768068600MEDICAIDFLORIDA
3CM016XMEDICARE PINFLORIDA
4CM016ZMEDICARE PINFLORIDA

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.