Laquanta S Shaw , NON TYPICAL
Driver • Indianapolis, IN
Professional Overview & Biography Verified Profile Summary
Laquanta Shaw, NON TYPICAL is a registered healthcare professional specializing in Driver in Indianapolis, IN. Practice services are available at 4160 TAHOE CT under active NPI credentials.
Practice Location & Contact Primary Location
4160 Tahoe Ct
Indianapolis, IN 462358823
Specialty Benchmarks & Practice Insights
Comparative analytics for Driver in Indianapolis, IN
Practicing in Indianapolis, IN (139 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
CMS Verified: 2025-09-16NUCC Taxonomy Code: 172A00000X
A person employed to operate a motor vehicle as a carrier of persons or property.
NUCC Taxonomy Code: 374U00000X
A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
Additional State Medicaid & Healthcare Payer Identifiers
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Registered at 55 S STATE AVE STE 353, INDIANAPOLIS, IN 462013890 (Tel: 3176278590)
Home Health Aide (License #HHA0901819 in IN)
NPI status registered as active in NPPES database
Registered at 4160 TAHOE CT, INDIANAPOLIS, IN 462358823 (Tel: 3176278590)
Registered at 4160 TAHOE CT, INDIANAPOLIS, IN 462358823 (Tel: 3176278590)
Recorded as LAQUANTA SHAW, NON TYPICAL
Driver (License #2350-45-6933 in IN)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
55 S State Ave Ste 353
Indianapolis, IN 462013890
Phone: 3176278590
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