Shea Pain Professionals LLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

SHEA PAIN PROFESSIONALS LLC

Practice address

1450 W Guadalupe Rd Ste 124
Gilbert, AZ 85233-3056

Phone

(480) 307-8258

Fax

(480) 454-8236

NPI assigned

Jul 11, 2022

Last updated

Feb 6, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Radman Rahiminejad

Title

Owner

Phone

(480) 307-8258

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Walter Calvin Damper Jr., D.O

  • Pain Medicine Physician
  • Tucson, AZ
  • NPI 1639309180
  Medicare reassignment NPD
• Yan Suleymanov

  • Physician Assistant
  • Phoenix, AZ
  • NPI 1992282651
  Medicare reassignment NPD
• Parker Hildebrand, PA-C

  • Physician Assistant
  • Chandler, AZ
  • NPI 1467009340
  Medicare reassignment
• Kymberli Angelina Tiller, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Chandler, AZ
  • NPI 1932734746
  Medicare reassignment
• Derek P Pruni, DC

  • Chiropractor
  • Mesa, AZ
  • NPI 1154304590
  NPD (past)

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

{
    "created_epoch": "1657497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770336000000",
    "number": "1073247508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 W GUADALUPE RD STE 124",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852333056",
            "telephone_number": "480-307-8258",
            "fax_number": "480-454-8236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 W GUADALUPE RD STE 124",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852333056",
            "telephone_number": "480-307-8258",
            "fax_number": "480-454-8236"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1949 W Ray Rd Ste 23",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852244008",
            "country_code": "US",
            "telephone_number": "480-307-8258",
            "fax_number": "480-454-8236",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21001 N Tatum Blvd Ste 78-1640",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850505244",
            "country_code": "US",
            "telephone_number": "480-307-8258",
            "fax_number": "480-454-8236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SHEA PAIN PROFESSIONALS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-11",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A",
        "authorized_official_last_name": "RAHIMINEJAD",
        "authorized_official_first_name": "RADMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-307-8258"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kipling P Sharpe, M.D.
• Lauren Sharpe
• Teresa Sharrow
• Kiara Symone Shaw, PT, DPT
• Shea Ambulatory Professionals LLC
• Shea Pain Solutions, LLC
• Megan Marie Shea, R. N.
• Crystal Sheard, LPC
• Brittnee L. Shearer
• Tania Lesneski Shearon, MOT,OTR/L,CHT

• Interventional Pain Medicine Physician in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Interventional Pain Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.