JONATHAN SHAW PMHNP NPI 1023641743

NPI Information

  • NPI: 1023641743
  • Provider Name: JONATHAN SHAW, PMHNP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1755 COBURG RD UNIT 301
    EUGENE, OR
    ZIP 97401
  • Phone: (888) 468-9669

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NPI Details

Jonathan Shaw, PMHNP is a psychiatric/mental health nurse practitioner in Eugene, OR. Jonathan Shaw, PMHNP NPI is 1023641743. 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:

1755 COBURG RD UNIT 301
EUGENE, OR
ZIP 97401-900
Phone: (888) 468-9669
Fax: (541) 632-4858

The NPI 1023641743 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 2/20/2020 and was last updated on 1/30/2025.

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
1363LP0808XNurse PractitionerPsychiatric/Mental Health95017588CALIFORNIANo
2363LP0808XNurse PractitionerPsychiatric/Mental Health836571NEVADANo
3363LP0808XNurse PractitionerPsychiatric/Mental Health47689WYOMINGNo
4363LP0808XNurse PractitionerPsychiatric/Mental HealthAP61160807WASHINGTONNo
5363LP0808XNurse PractitionerPsychiatric/Mental Health202108944NP-PPOREGONYes

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: 3/30/2025

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