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DALTON S SHAW
NPI 1366254708
Peer Specialist in Elizabethtown, KY

Active since January 23, 2025
100 PAR LN, ELIZABETHTOWN, KY 42701(270) 312-2500 Get Directions Write a Review

NPPES record last updated: January 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dalton S Shaw NPPES

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

DALTON S SHAW (NPI 1366254708) is an individual peer specialist in Elizabethtown, Kentucky, licensed in Kentucky (1202722) and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1366254708
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameDALTON S SHAW
Location Address100 PAR LNElizabethtown, KY 42701-9023
Mailing Address211 Ponderosa DrElizabethtown, KY 42701-2668 · (270) 801-3237
Phone(270) 312-2500
Sole ProprietorNo
Enumeration DateJanuary 23, 2025
Last NPPES UpdateJanuary 28, 2025
NPPES CertifiedJanuary 28, 2025
✔ NPI 1366254708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in KY · 1202722
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
100 PAR LN, Elizabethtown, KY 42701
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Other Providers at the Same Location NPPES 2

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

COOPER RAY VANCE
Peer Specialist
100 PAR LN
ELIZABETHTOWN, KY 42701
Hardin County (270) 317-0225
MALIK DANTE MORRIS
Peer Specialist
100 PAR LN
ELIZABETHTOWN, KY 42701
Hardin County (270) 312-0444

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 Dalton Shaw's NPI number?

The NPI number for Dalton Shaw is 1366254708. It was assigned to this individual provider in the NPPES registry on January 23, 2025.

Where is Dalton Shaw located?

Dalton Shaw practices at 100 Par Ln, Elizabethtown, KY 42701. The listed phone number is (270) 312-2500.

What is Dalton Shaw's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Dalton Shaw was last updated on January 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.