Organization Active NPI

Sheperd Care

  • Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1003304130
Registry record updated Apr 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SHEPERD CARE
Practice address
9150 W Indian School Rd Ste 111B
Phoenix, AZ 85037-2354
Phone
(623) 247-2300
Fax
(623) 247-1939
NPI assigned
Apr 24, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Charmele Brinson
Title
Administrator
Phone
(623) 247-2300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

9150 W Indian School Rd Ste 111B
Phoenix, AZ 85037-2354

Mailing address

9150 W Indian School Rd Ste 111B
Phoenix, AZ 85037-2354
Phone (623) 247-2300

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1524528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524528000000",
    "number": "1003304130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9150 W INDIAN SCHOOL RD STE 111B",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850372354",
            "telephone_number": "623-247-2300",
            "fax_number": "623-247-1939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9150 W INDIAN SCHOOL RD STE 111B",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850372354",
            "telephone_number": "623-247-2300",
            "fax_number": "623-247-1939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEPERD CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-24",
        "last_updated": "2018-04-24",
        "status": "A",
        "authorized_official_last_name": "BRINSON",
        "authorized_official_first_name": "CHARMELE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "623-247-2300"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.