MRS. VANESSA LYNNE SHAW APRN
NPI 1184287245
Nurse Practitioner in Jacksonville, FL

Q: What is Vanessa Shaw's NPI number?

The NPI number for Vanessa Shaw is 1184287245. It was assigned to this individual provider in the NPPES registry on April 15, 2019. The provider is also known as Ms. Vanessa Lynne Heistad Aprn.

Q: What is Vanessa Shaw's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Vanessa Shaw was last updated on July 6, 2022. 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 April 15, 2019

100/100

CMS Quality Rating

800 PRUDENTIAL DR STE 1100, JACKSONVILLE, FL 32207(904) 388-6518(904) 384-1005 Get Directions Write a Review

NPPES record last updated: July 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 6, 2022, Apr 15, 2019 (2 updates tracked since 2019).

On this page

About Mrs. Vanessa Lynne Shaw Aprn NPPES

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

MRS. VANESSA LYNNE SHAW APRN (NPI 1184287245) is an individual nurse practitioner in Jacksonville, Florida, licensed in Florida (APRN11002147) and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1184287245

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMRS. VANESSA LYNNE SHAWCredential: APRN

Location Address800 PRUDENTIAL DR STE 1100Jacksonville, FL 32207-8202

Mailing AddressPo Box 746647Atlanta, GA 30374-6647 · (904) 388-6518 · Fax (904) 384-1005

Phone(904) 388-6518

Fax(904) 384-1005

Sole ProprietorNo

Enumeration DateApril 15, 2019

Last NPPES UpdateJuly 6, 20222 updates tracked since enumeration

NPPES CertifiedJuly 6, 2022

✔ NPI 1184287245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in FL · APRN11002147

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 11002147 (FL), APRN11002147 (FL)

800 PRUDENTIAL DR STE 1100, Jacksonville, FL 32207

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Other Names 1

Former Name (1)Ms. Vanessa Lynne Heistad Aprn

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 7

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

MR. TIMOTHY JAMES GARRAHY APRN

Nurse Practitioner