TOMMORA A SHAW ARNP NPI 1154558765

NPI Information

NPI: 1154558765
Provider Name: TOMMORA A SHAW, ARNP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
800 MERCY DR
COUNCIL BLUFFS, IA
ZIP 51503
Phone: (712) 328-5490
Get Directions

Tommora A Shaw, ARNP is an adult health nurse practitioner in Council Bluffs, IA with 15 years of experience. Tommora A Shaw, ARNP NPI is 1154558765. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

800 MERCY DR
COUNCIL BLUFFS, IA
ZIP 51503-128
Phone: (712) 328-5490
Fax: (712) 325-2499

The NPI 1154558765 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 6/22/2009 and was last updated on 5/28/2019.

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	363LA2200X	Nurse Practitioner	Adult Health	111050	NEBRASKA	Yes
2	363L00000X	Nurse Practitioner		122238	IOWA	No

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

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »