Jade Nicole Shaw, is a
Peer Specialist based in Tacoma, Washington. Jade Nicole Shaw is licensed to practice in * (Not Available) (license number ) and her current practice location is
1001 N J St, Tacoma, Washington. She can be reached at her office (for appointments etc.) via phone at
(253) 830-6242.
NPI number for Jade Nicole Shaw is 1851827240 and her current mailing address is 7610 40th St W Ste 300, University Place, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1851827240.
Healthcare Provider's Profile
| Full Name | Jade Nicole Shaw |
|---|
| Gender | Female |
|---|
| Speciality | Peer Specialist |
|---|
| Location | 1001 N J St, Tacoma, Washington |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1851827240
- Provider Enumeration Date: 05/04/2017
- Last Update Date: 12/07/2018
Medical Identifiers
Medical identifiers for Jade Nicole Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1851827240 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 175T00000X | Peer Specialist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jade Nicole Shaw is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jade Nicole Shaw,
7610 40th St W Ste 300,
University Place, WA 98466-3834
Ph: (253) 830-6242 | Jade Nicole Shaw,
1001 N J St,
Tacoma, WA 98403-2125
Ph: (253) 830-6242 |
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