Active NPI
Shannalee Senior, APRN, AGNP-C
- Adult Health Nurse Practitioner
- Tempe, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 243295
- Practice address
- 5025 S Ash Ave Ste a
Tempe, AZ 85282-6839 - Phone
- (623) 246-5700
- NPI assigned
- Mar 31, 2020
- Last updated
- Jan 12, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 243295 | AZ | Primary |
Addresses
Primary practice location
5025 S Ash Ave Ste a
Tempe, AZ 85282-6839
Mailing address
5025 S Ash Ave Ste a
Tempe, AZ 85282-6839
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, NY, FL, MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2585 Miracle Mile
Bullhead City, AZ 86442-7522
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 243295 | AZ | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri-State Community Healthcare Center | Current | Accepting new patients | |
| Pasadena Center for Asthma & Lung Disorders LLC | Current | Accepting new patients | |
| Consultants in Internal Medicine, P.C. | Current | Accepting new patients | |
| Capital Healthcare PC | Current | Accepting new patients | |
| Tri-State Community Healthcare Center | Current | Accepting new patients | |
| Rosewood Ranch, LP | Past | Accepting new patients | |
| Rosewood Ranch, LP | Past | Accepting new patients |
Locations
5651 W Talavi Blvd
Ste 170
Glendale, AZ 85306
Phone (602) 843-1313
8700 S Highway 95
Mohave Valley, AZ 86440
Phone (928) 768-7113
4141 Verdugo Rd
Los Angeles, CA 90065
Phone (818) 760-5144
1615 Pasadena Ave S
Ste 200
South Pasadena, FL 33707
Phone (727) 341-0551
5454 Central Ave
Ste A
St Petersburg, FL 33707
Phone (727) 347-5242
8205 Snowden River Pkwy
Columbia, MD 21045
Phone (410) 290-9990
6020 Richmond Hwy
Ste 102
Alexandria, VA 22303
Phone (267) 978-1993
Interoperability endpoints
- shannalee.senior.1@15482.direct.athenahealth.com
Organizations & group practices 8
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.
-
- Primary Care Clinic/Center
- Glendale, AZ
- NPI 1568673499
-
- Pulmonary Disease Physician
- St Petersburg, FL
- NPI 1396981635
-
dba Paragon Healthcare of Arizona, LLC
- Physical Therapy Clinic/Center
- Bullhead City, AZ
- NPI 1538694104
-
- Federally Qualified Health Center (FQHC)
- Mohave Valley, AZ
- NPI 1841703253
-
- Federally Qualified Health Center (FQHC)
- Laughlin, NV
- NPI 1174125892
-
- Psychiatric Residential Treatment Facility
- Wickenburg, AZ
- NPI 1427278837
-
- Psychiatric Hospital
- Wickenburg, AZ
- NPI 1427564335
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736640000000",
"number": "1073141529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5025 S ASH AVE STE A",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852826839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5025 S ASH AVE STE A",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852826839",
"telephone_number": "623-246-5700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SENIOR",
"first_name": "SHANNALEE",
"credential": "APRN, AGNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-31",
"last_updated": "2025-01-12",
"certification_date": "2025-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "AZ",
"license": "243295",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.