Stephanie Shaw, DNP | |
2501 Business Ln, Yakima, WA 98901-1167 | |
(509) 454-4143 | |
(509) 454-4115 |
Full Name | Stephanie Shaw |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 9 Years |
Location | 2501 Business Ln, Yakima, Washington |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811364995 | NPI | - | NPPES |
213811758 | Medicaid | AR | |
A004457 | Other | AR | APRN LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | A004457 (Arkansas) | Secondary |
363LF0000X | Nurse Practitioner - Family | AP61576033 (Washington) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Jefferson Comprehensive Care System, Inc | 5193634509 | 9 |
Entity Name | Jefferson Comprehensive Care System, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154386597 PECOS PAC ID: 5193634509 Enrollment ID: O20040603001458 |
Mailing Address | Practice Location Address |
---|---|
Stephanie Shaw, DNP 823 River Rd, Redfield, AR 72132-9667 Ph: (501) 397-2261 | Stephanie Shaw, DNP 2501 Business Ln, Yakima, WA 98901-1167 Ph: (509) 454-4143 |
Jenatte Virginia Clark, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4209 Tieton Dr Ste 102, Yakima, WA 98908 Phone: 509-654-9810 Fax: 509-966-8812 | |
Leticia Rodriguez, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 402 S 12th Ave, Yakima, WA 98902 Phone: 509-575-0114 Fax: 509-575-0808 | |
Krystal Leslie Weber, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 402 S 4th Ave, Yakima, WA 98902 Phone: 509-575-4084 | |
James Kendall Eakin, ARNP, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12 S 8th St, Yakima, WA 98901 Phone: 509-454-4143 Fax: 509-454-4115 | |
Helena Laubach, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12 S 8th St, Yakima, WA 98901 Phone: 509-454-4143 | |
Barbara A Norman, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 402 S 4th Ave, Yakima, WA 98902 Phone: 509-575-4084 | |
Sonya Lovingood, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1806 W Lincoln Ave, Yakima, WA 98902 Phone: 509-452-4520 Fax: 509-452-5224 |