Active NPI
Sheila D. Young, RN
- School Registered Nurse
- Gold Canyon, AZ
National Provider Identifier
1083863880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- RN051081
- Practice address
- 5810 S Alameda Rd
Gold Canyon, AZ 85218-6823 - Phone
- (480) 982-1110
- Fax
- (480) 671-4324
- NPI assigned
- Sep 17, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | RN051081 | AZ | Primary |
Addresses
Primary practice location
5810 S Alameda Rd
Gold Canyon, AZ 85218-6823
Mailing address
1575 W. Southern Ave
#6
Apache Junction, AZ 85220
Phone (480) 982-1110
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN051081 | AZ | MD | School Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221609600000",
"number": "1083863880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1575 W. SOUTHERN AVE",
"address_2": "#6",
"city": "APACHE JUNCTION",
"state": "AZ",
"postal_code": "85220",
"telephone_number": "480-982-1110",
"fax_number": "480-671-4324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5810 S ALAMEDA RD",
"city": "GOLD CANYON",
"state": "AZ",
"postal_code": "852186823",
"telephone_number": "480-982-1110",
"fax_number": "480-671-4324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "SHEILA",
"middle_name": "D.",
"name_prefix": "Ms.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-17",
"last_updated": "2008-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "AZ",
"license": "RN051081",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gold Canyon, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.