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LISA MARIE SHAW
NPI 1104659168
Student in an Organized Health Care Education/Training Program in Berkeley, CA

Active since August 23, 2024
2130 CENTER ST STE 200, BERKELEY, CA 94704(510) 548-8283(510) 548-2938 Get Directions Write a Review

NPPES record last updated: August 23, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lisa Marie Shaw NPPES

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

LISA MARIE SHAW (NPI 1104659168) is an individual student in an organized health care education/training program in Berkeley, California and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1104659168
Entity TypeIndividual
Primary Taxonomy390200000X
Provider Legal NameLISA MARIE SHAW
Location Address2130 CENTER ST STE 200Berkeley, CA 94704-1386
Mailing Address2130 Center St Ste 200Berkeley, CA 94704-1386 · (510) 548-8283 · Fax (510) 548-2938
Phone(510) 548-8283
Fax(510) 548-2938
Sole ProprietorYes
Enumeration DateAugust 23, 2024
NPPES CertifiedAugust 23, 2024
✔ NPI 1104659168 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.
2130 CENTER ST STE 200, Berkeley, CA 94704
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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.

PACIFIC CENTER FOR HUMAN GROWTH
Clinic/Center (Mental Health (Including Community Mental Health Center))
2130 CENTER ST STE 200
BERKELEY, CA 94704
Alameda County (510) 992-6207
JOAN GOSCINIAK
Student in an Organized Health Care Education/Training Program
2130 CENTER ST STE 200
BERKELEY, CA 94704
Alameda County (510) 548-8283
GLORIVETTE RODRIGUEZ
Student in an Organized Health Care Education/Training Program
2130 CENTER ST STE 200
BERKELEY, CA 94704
Alameda County (510) 548-8283
MR. MELVILLE MARIUS GILCREST
Student in an Organized Health Care Education/Training Program
2130 CENTER ST STE 200
BERKELEY, CA 94704
Alameda County (510) 548-8283
MICHELLE LEE
Student in an Organized Health Care Education/Training Program
2130 CENTER ST STE 200
BERKELEY, CA 94704
Alameda County (510) 548-8283
ISABELLA CORACCIO LEPORTE
Student in an Organized Health Care Education/Training Program
2130 CENTER ST STE 200
BERKELEY, CA 94704
Alameda County (510) 548-8283
ELI VICKERY
Student in an Organized Health Care Education/Training Program
2130 CENTER ST STE 200
BERKELEY, CA 94704
Alameda County (510) 548-8283
ANTHONY MAGNIA
Marriage & Family Therapist
2130 CENTER ST STE 200
BERKELEY, CA 94704
Alameda County (510) 992-6207

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 Lisa Shaw's NPI number?

The NPI number for Lisa Shaw is 1104659168. It was assigned to this individual provider in the NPPES registry on August 23, 2024.

Where is Lisa Shaw located?

Lisa Shaw practices at 2130 Center St Ste 200, Berkeley, CA 94704. The listed phone number is (510) 548-8283.

What is Lisa 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 Lisa Shaw was last updated on August 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.