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

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