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JESSICA MARILYN SHAW
NPI 1679409544
Peer Specialist in Stockbridge, MI

Active since June 19, 2026
5191 HAYNES RD, STOCKBRIDGE, MI 49285(517) 480-0135 Get Directions Write a Review

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

About Jessica Marilyn Shaw NPPES

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

JESSICA MARILYN SHAW (NPI 1679409544) is an individual peer specialist in Stockbridge, Michigan and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1679409544
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameJESSICA MARILYN SHAW
Location Address5191 HAYNES RDStockbridge, MI 49285-9523
Mailing Address5191 Haynes RdStockbridge, MI 49285-9523 · (517) 480-0135
Phone(517) 480-0135
Sole ProprietorYes
Enumeration DateJune 19, 2026
NPPES CertifiedJune 19, 2026
✔ NPI 1679409544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
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.
5191 HAYNES RD, Stockbridge, MI 49285
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Jessica Shaw's NPI number?

The NPI number for Jessica Shaw is 1679409544. It was assigned to this individual provider in the NPPES registry on June 19, 2026.

Where is Jessica Shaw located?

Jessica Shaw practices at 5191 Haynes Rd, Stockbridge, MI 49285. The listed phone number is (517) 480-0135.

What is Jessica 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 Jessica Shaw was last updated on June 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 46 days 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.