ANDREA LYN SHAW
NPI 1174286736
Licensed Practical Nurse in Ridgway, IL

Q: What is Andrea Shaw's NPI number?

The NPI number for Andrea Shaw is 1174286736. It was assigned to this individual provider in the NPPES registry on October 20, 2021.

Q: What is Andrea Shaw's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Andrea Shaw was last updated on October 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since October 20, 2021

900 W RACE ST, RIDGWAY, IL 62979(618) 272-8831(618) 272-7118 Get Directions Write a Review

NPPES record last updated: October 20, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Andrea Lyn Shaw NPPES

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

ANDREA LYN SHAW (NPI 1174286736) is an individual licensed practical nurse in Ridgway, Illinois, licensed in Illinois (043119608) and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1174286736

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameANDREA LYN SHAW

Location Address900 W RACE STRidgway, IL 62979-1150

Mailing Address900 W Race StRidgway, IL 62979-1150 · (618) 272-8831 · Fax (618) 272-7118

Phone(618) 272-8831

Fax(618) 272-7118

Sole ProprietorYes

Enumeration DateOctober 20, 2021

NPPES CertifiedOctober 20, 2021

✔ NPI 1174286736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in IL · 043119608

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

900 W RACE ST, Ridgway, IL 62979

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Other Providers at the Same Location NPPES 3

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

RIDGWAY REHABILITATION AND NURSING CENTER, LLC

Skilled Nursing Facility

900 W RACE ST
RIDGWAY, IL 62979

Gallatin County (618) 272-8831

GALLATIN MANOR LLC

Skilled Nursing Facility

900 W RACE ST
RIDGWAY, IL 62979

Gallatin County (618) 272-8831

JAMES AUSTIN KOESTER

Registered Nurse

900 W RACE ST
RIDGWAY, IL 62979

Gallatin County (618) 272-8831

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 Andrea Shaw's NPI number?

The NPI number for Andrea Shaw is 1174286736. It was assigned to this individual provider in the NPPES registry on October 20, 2021.

Where is Andrea Shaw located?

Andrea Shaw practices at 900 W Race St, Ridgway, IL 62979. The listed phone number is (618) 272-8831.

What is Andrea Shaw's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Andrea Shaw was last updated on October 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.