Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jill Rodriguez Shaw

Individual provider Nurse Practitioner · NPI 1578133062

Jill Rodriguez Shaw is a Nurse Practitioner in Dallas, Texas. Qualified in 2020, 6 years ago. Practices with Dallas Pulmonary and Critical Care PA, a 186-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
6
Licensed in
TX
In the registry since
2021
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Practice location Address checks out

221 W Colorado Blvd Ste 525
Dallas, TX 75208-2312
Phone: (214) 960-5681
Fax: (214) 960-5681
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 1012936 (TX)

Record details

NPI number1578133062
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 28, 2021
Last updated in NPPESMarch 27, 2024
Certification dateMarch 27, 2024
Mailing address221 W Colorado Blvd Ste 525, Dallas, TX 75208-2312

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Dallas Pulmonary And Critical Care Pa — 186 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Dallas