Provider Demographics
NPI:1982146007
Name:SHAW CARLTON, TONYA RENEE (RCP)
Entity Type:Individual
Prefix:MS
First Name:TONYA
Middle Name:RENEE
Last Name:SHAW CARLTON
Suffix:
Gender:F
Credentials:RCP
Other - Prefix:MS
Other - First Name:TONYA
Other - Middle Name:RENEE
Other - Last Name:CARLTON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RCP
Mailing Address - Street 1:820 CHANCE RD
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27703-2529
Mailing Address - Country:US
Mailing Address - Phone:919-596-9240
Mailing Address - Fax:919-596-9240
Practice Address - Street 1:820 CHANCE RD
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27703-2529
Practice Address - Country:US
Practice Address - Phone:919-596-9240
Practice Address - Fax:919-596-9240
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-07
Last Update Date:2016-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA- 2706227800000X, 2278E1000X, 2278H0200X, 2278S1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Certified
No2278E1000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedEducational
No2278H0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedHome Health
No2278S1500XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedSNF/Subacute Care