Individual provider · Type 1 NPI

Rachel Lavon Shaw

Nurse Practitioner · Dallas, TX

NPI number 1134092075 Active

Practice location

12830 Hillcrest Rd Ste 111
Dallas, TX 75230-1547

Call (443) 383-9300 Map

Mailing address

909 Ridgebrook Rd Ste 300
Sparks, MD 21152-9477

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X1213153 (TX)

Nurse Practitioner: (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 wit…

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About NPI 1134092075

Rachel Lavon Shaw's National Provider Identifier is 1134092075, issued on Sep 26, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Dallas, TX. The record was last updated on Oct 8, 2025.