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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

HEIDI SHAW
NPI 1104649375
Student in an Organized Health Care Education/Training Program in San Luis Obispo, CA

Active since November 05, 2024
1255 KENDALL RD, SAN LUIS OBISPO, CA 93401(805) 704-6252 Get Directions Write a Review

NPPES record last updated: October 1, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Oct 1, 2026, Mar 21, 2025, Nov 5, 2024 (3 updates tracked since 2024).

About Heidi Shaw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEIDI SHAW (NPI 1104649375) is an individual student in an organized health care education/training program in San Luis Obispo, California and active in the NPI registry since November 2024.

NPPES Registry Identity

NPI1104649375
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameHEIDI SHAW
Location Address1255 KENDALL RDSan Luis Obispo, CA 93401-8750
Mailing Address1255 Kendall RdSan Luis Obispo, CA 93401-8750 · (805) 704-6252
Phone(805) 704-6252
Sole ProprietorYes
Enumeration DateNovember 5, 2024
Last NPPES UpdateOctober 1, 20263 updates tracked since enumeration
NPPES CertifiedOctober 1, 2026
✔ NPI 1104649375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1255 KENDALL RD, San Luis Obispo, CA 93401
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOSE DE JESUS EULLOQUI
Counselor
1255 KENDALL RD
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 781-3535
LILIANA VALENCIA LEMUS
Community Health Worker
1255 KENDALL RD
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 550-6546
CALEDONIA VANDEN BOSSCHE
Counselor (Mental Health)
1255 KENDALL RD
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 781-3535
VICTORIA LAUREN PARENTE
Counselor (Mental Health)
1255 KENDALL RD
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 781-3535
TAMRA ANN DISON DE RIVAS
Rehabilitation Practitioner
1255 KENDALL RD
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 781-3535
DARCI RENEE RICE LMFT
Marriage & Family Therapist
1255 KENDALL RD
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 602-8550
LAUREN WILSON
Counselor (Mental Health)
1255 KENDALL RD
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 781-3535
DESIREE RENEE TOLEDO
Counselor (Mental Health)
1255 KENDALL RD
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 781-3535

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Heidi Shaw's NPI number?

The NPI number for Heidi Shaw is 1104649375. It was assigned to this individual provider in the NPPES registry on November 5, 2024.

Where is Heidi Shaw located?

Heidi Shaw practices at 1255 Kendall Rd, San Luis Obispo, CA 93401. The listed phone number is (805) 704-6252.

What is Heidi Shaw's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Heidi Shaw was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.