| Lindsey Shaw, APRN, CPNP-PC | |
|
5030 N Walnut St, South Bloomfield, OH 43103-1018 | |
| (740) 983-0015 | |
| (740) 983-4763 |
| Full Name | Lindsey Shaw |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Pediatrics |
| Location | 5030 N Walnut St, South Bloomfield, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326625054 | NPI | - | NPPES |
| 0467322 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0200X | Nurse Practitioner - Pediatrics | APRN.CNP.0029608 (Ohio) | Primary |
| Entity Name | Childrens Community Practices LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386031896 PECOS PAC ID: 5092047084 Enrollment ID: O20191023003502 |
| Mailing Address | Practice Location Address |
|---|---|
| Lindsey Shaw, APRN, CPNP-PC 5030 S Walnut St, South Bloomfield, OH 43103-1029 Ph: (740) 983-0015 | Lindsey Shaw, APRN, CPNP-PC 5030 N Walnut St, South Bloomfield, OH 43103-1018 Ph: (740) 983-0015 |
Lysette Nkongyo, RN, APRN, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 276 Dowler Dr, South Bloomfield, OH 43103 Phone: 859-661-1763 |
Courtney Lynn Brewster, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 5030 N Walnut St, South Bloomfield, OH 43103 Phone: 740-983-0015 |