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

Rachel Lavon Shaw

Individual provider Nurse Practitioner · NPI 1134092075

Rachel Lavon Shaw is a Nurse Practitioner in Dallas, Texas. Qualified in 2025, 1 year ago. Licensed in Texas.

Years since qualifying
1
Licensed in
TX
In the registry since
2025
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Practice location Address checks out

12830 Hillcrest Rd Ste 111
Dallas, TX 75230-1547
Phone: (443) 383-9300
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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 1213153 (TX)

Record details

NPI number1134092075
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 26, 2025
Last updated in NPPESOctober 8, 2025
Certification dateOctober 8, 2025
Mailing address909 Ridgebrook Rd Ste 300, Sparks, MD 21152-9477

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations4 on file with Medicare

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