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

Mrs. Samantha J Shaw, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1871280347

Mrs. Samantha J Shaw, FNP-BC is a Nurse Practitioner in Long Beach, California. Qualified in 2022, 4 years ago. Accepts Medicare assignment. Licensed in Idaho, South Carolina, Texas and Utah and 1 more.

Years since qualifying
4
Licensed in
ID, SC, TX, UT, WA
In the registry since
2023
Specialties on file
5
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

200 Oceangate Ste 100
Long Beach, CA 90802-4317
Phone: (864) 466-2656
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 27295 (SC)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 14256449-4405 (UT)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 3681311 (ID)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence ARNP.AP.70063882-NP (WA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 1218783 (TX)

Record details

NPI number1871280347
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedApril 24, 2023
Last updated in NPPESJuly 28, 2026
Certification dateJuly 28, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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