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MELLISSA KAY SHAW LPN
NPI 1659690436
Licensed Practical Nurse in Johnson City, TN

Active since May 19, 2010
900 BUFFALO ST, JOHNSON CITY, TN 37604(423) 232-4130(423) 467-3644 Get Directions Write a Review

NPPES record last updated: May 19, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mellissa Kay Shaw Lpn NPPES

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

MELLISSA KAY SHAW LPN (NPI 1659690436) is an individual licensed practical nurse in Johnson City, Tennessee, licensed in Tennessee (75455) and active in the NPI registry since May 2010.

NPPES Registry Identity

NPI1659690436
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMELLISSA KAY SHAWCredential: LPN
Location Address900 BUFFALO STJohnson City, TN 37604-6720
Mailing Address1167 Spratlin Park DrGray, TN 37615-6205 · (423) 467-3600 · Fax (423) 467-3644
Phone(423) 232-4130
Fax(423) 467-3644
Sole ProprietorYes
Enumeration DateMay 19, 2010
✔ NPI 1659690436 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 TN · 75455
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 BUFFALO ST, Johnson City, TN 37604
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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.

KIMBERLY A FRANKLIN B.S.
Case Manager/Care Coordinator
900 BUFFALO ST
JOHNSON CITY, TN 37604
Washington County (423) 232-4130
MR. KEENER FRYDE HUNEYCUTT MA
Counselor
900 BUFFALO ST, MAGNOLIA RIDGE TREATMENT CENTER
JOHNSON CITY, TN 37604
Washington County (423) 232-4130
RENE NOLEN HUNTSINGER BGS
Counselor
900 BUFFALO ST
JOHNSON CITY, TN 37604
Washington County (423) 232-4130
CRYSTAL LEE HILL LPN
Licensed Practical Nurse
900 BUFFALO ST
JOHNSON CITY, TN 37604
Washington County (423) 232-4130
MRS. MENDI A MCHONE BS
Case Manager/Care Coordinator
900 BUFFALO ST
JOHNSON CITY, TN 37604
Washington County (423) 232-4130
SHAUNA GREGORY
Case Manager/Care Coordinator
900 BUFFALO ST
JOHNSON CITY, TN 37604
Washington County (423) 232-4130
ANGELITA MICHELLA TOUPS AD-NURSING
Licensed Practical Nurse
900 BUFFALO ST
JOHNSON CITY, TN 37604
Washington County (423) 232-4130
MEREDITH A DUGGER LPN
Licensed Practical Nurse
900 BUFFALO ST
JOHNSON CITY, TN 37604
Washington County (423) 232-4130

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 Mellissa Shaw's NPI number?

The NPI number for Mellissa Shaw is 1659690436. It was assigned to this individual provider in the NPPES registry on May 19, 2010.

Where is Mellissa Shaw located?

Mellissa Shaw practices at 900 Buffalo St, Johnson City, TN 37604. The listed phone number is (423) 232-4130.

What is Mellissa 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 Mellissa Shaw was last updated on May 19, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.