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CHRISTIAN NICOLE SHAW RDN, LD
NPI 1124532627
Dietitian, Registered in Murray, KY

Active since November 21, 2017
716 POPLAR ST, MURRAY, KY 42071(270) 752-2936 Get Directions Write a Review

NPPES record last updated: November 21, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Christian Nicole Shaw Rdn, Ld NPPES

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

CHRISTIAN NICOLE SHAW RDN, LD (NPI 1124532627) is an individual dietitian, registered in Murray, Kentucky, licensed in Kentucky (173929) and active in the NPI registry since November 2017.

NPPES Registry Identity

NPI1124532627
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameCHRISTIAN NICOLE SHAWCredential: RDN, LD
Location Address716 POPLAR STMurray, KY 42071-2546
Mailing Address716 Poplar StMurray, KY 42071-2546
Phone(270) 752-2936
Sole ProprietorNo
Enumeration DateNovember 21, 2017
✔ NPI 1124532627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in KY · 173929
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
716 POPLAR ST, Murray, KY 42071
Open in Google Maps ↗

Other Identifiers 1

Other86072940KY · Cdr

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Christian Nicole Shaw Rdn, Ld is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Christian Shaw reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Jennie Stuart Medical Center Inc
46 mi
Rural Health
105 KEETON DR
Hopkinsville, KY 42240
  • Reassigned Medicare billing, Kentucky enrollment
  • 169 clinicians in this Medicare group
NPI 1679293369 (270) 887-6565

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 10

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

MRS. GRACE ELAINE PUCKETT PTA
Physical Therapy Assistant
716 POPLAR ST
MURRAY, KY 42071
Calloway County (270) 762-1854
MRS. AMANDA ANN DADY P.T.
Physical Therapist
716 POPLAR ST
MURRAY, KY 42071
Calloway County (270) 762-1854
BRYN M SPENGLER D.P.T.
Physical Therapist
716 POPLAR ST
MURRAY, KY 42071
Calloway County (270) 762-1854
MRS. REBECCA WRIGHT RD, LD
Dietitian, Registered
716 POPLAR ST
MURRAY, KY 42071
Calloway County (270) 762-1834
MRS. TARA SHAWN SHELTON RD,LD,CDE
Dietitian, Registered
716 POPLAR ST
MURRAY, KY 42071
Calloway County (270) 762-1806
MR. KIRK WATSON
Physical Therapist
716 POPLAR ST
MURRAY, KY 42071
Calloway County (270) 762-1854
CARLOS DEVAUGHN RANSEY PTA
Physical Therapy Assistant
716 POPLAR ST
MURRAY, KY 42071
Calloway County (270) 762-1854
MELESA RENEE MILLER PTA
Physical Therapy Assistant
716 POPLAR ST
MURRAY, KY 42071
Calloway County (270) 762-1854

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 Christian Shaw's NPI number?

The NPI number for Christian Shaw is 1124532627. It was assigned to this individual provider in the NPPES registry on November 21, 2017.

Where is Christian Shaw located?

Christian Shaw practices at 716 Poplar St, Murray, KY 42071. The listed phone number is (270) 752-2936.

What is Christian Shaw's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Christian Shaw enrolled in Medicare?

Yes. Christian Shaw is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Christian Shaw's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Christian Shaw reassigns Medicare benefits to Jennie Stuart Medical Center Inc (Hopkinsville, KY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Christian Shaw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Christian Shaw was last updated on November 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.