MEKESHA SHAW FNP-BC NPI 1922589704

NPI Information

  • NPI: 1922589704
  • Provider Name: MEKESHA SHAW, FNP-BC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1268 S 4TH ST
    HARTSVILLE, SC
    ZIP 29550
  • Phone: (843) 332-3422

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NPI Details

Mekesha Shaw, FNP-BC is a family nurse practitioner in Hartsville, SC with 7 years of experience. Mekesha Shaw, FNP-BC NPI is 1922589704. 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:

1268 S 4TH ST
HARTSVILLE, SC
ZIP 29550-703
Phone: (843) 332-3422

The NPI 1922589704 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 8/28/2018 and was last updated on 2/6/2025.

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
1207Q00000XFamily Medicine22188SOUTH CAROLINANo
2363LF0000XNurse PractitionerFamily22188SOUTH CAROLINAYes

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
1NP7634MEDICAIDSOUTH CAROLINA
2SC6095OTHERSOUTH CAROLINAMEDICARE

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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