Tayvon Michele Shazier

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

091630512 Issued in CO

Practice address

14195 Montview Blvd
Apt 14
Aurora, CO 80011-4289

Phone

(303) 748-7049

NPI assigned

May 2, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1462147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462147200000",
    "number": "1023463650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14195 MONTVIEW BLVD APT 14",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800114274",
            "telephone_number": "303-748-7049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14195 MONTVIEW BLVD",
            "address_2": "APT 14",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800114289",
            "telephone_number": "303-748-7049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAZIER",
        "first_name": "TAYVON",
        "middle_name": "MICHELE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-02",
        "last_updated": "2016-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "CO",
            "license": "091630512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER PERMANENTE",
            "identifier": "412168284",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsey Shaw
• Rebecca Shay, MD
• Michael Shayevsky X, DDS
• Shayna Reibman, PHD, PLLC
• Jazmine Shazier
• Omar M Shbeeb, MD
• Andrea H Shea, NP,MSN
• Josie Shea
• Karen Shea, MD
• Kelly Shea, PT, DPT, CSRS

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Aurora, CO
• Providers in Aurora, CO by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2016; 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.