Individual provider Active NPI

Shannon Torrez

  • Primary Care Nurse Practitioner
  • Goodyear, AZ
National Provider Identifier
1053011239
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
287508 Issued in AZ
Practice address
16751 W Shiloh Ave
Goodyear, AZ 85338-7392
Phone
(480) 372-7703
NPI assigned
Mar 7, 2023
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 287508 AZ Primary

Addresses

Primary practice location

16751 W Shiloh Ave
Goodyear, AZ 85338-7392

Mailing address

16751 W Shiloh Ave
Goodyear, AZ 85338-7392
Phone (480) 372-7703

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230503002344 AZ Practitioner - Nurse Practitioner 1658736202 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Interventional Services Group PLLCGroup PAC ID 5597238592, 9 clinicians

Practice addresses (Care Compare)

1111 E McDowell Rd
Phoenix, AZ 85006-2612
Phone (602) 839-2000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vascular and Interventional Partners PLLC CurrentSince Apr 20, 2023 Accepting new patients

Locations

10825 W McDowell Rd
Ste 202
Avondale, AZ 85392
Phone (480) 435-9100

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

22455 N Miller Rd
Ste 100
Scottsdale, AZ 85255
Phone (480) 435-9100

22455 N Miller Rd
Ste B100
Scottsdale, AZ 85255
Phone (480) 435-9100

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CDIFCD
  • FHIR API: https://fhir4.healow.com/fhir/r4/CDIFCD/Endpoint/CDIFCD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1678147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1053011239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16751 W SHILOH AVE",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853387392",
            "telephone_number": "480-372-7703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16751 W SHILOH AVE",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853387392",
            "telephone_number": "480-372-7703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORREZ",
        "first_name": "SHANNON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-07",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AZ",
            "license": "287508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

Verify at the official NPI Registry.