Shavaughn E Elkins, MSRLS-CTRS

Primary specialty

Recreation TherapistTaxonomy code 225800000X

Practice address

650 E Indian School Rd
Phoenix, AZ 85012-1839

Phone

(602) 277-5551

NPI assigned

Aug 17, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Bridge Therapies LLC

  • Recreation Therapist
  • Buckeye, AZ
  • NPI 1013874825
  NPD Authorized official

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

{
    "created_epoch": "1692230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1104609593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19456 W WOODLANDS AVE",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853265886",
            "telephone_number": "254-462-4133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 E INDIAN SCHOOL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850121839",
            "telephone_number": "602-277-5551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELKINS",
        "first_name": "SHAVAUGHN",
        "middle_name": "E",
        "credential": "MSRLS-CTRS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-17",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225800000X",
            "taxonomy_group": "",
            "desc": "Recreation Therapist",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana I Elizalde, M.D.
• Luisa Patio Elizalde, NP-C
• Vanessa Elizalde, APRN-CNP, PMHNP-BC
• Alma Cecilia Elizarraraz
• Mohammed Elkhwad, MD
• Rawan Elkurdi, MD
• Dilantha B. Ellegala, MD
• Sadie Ellenson, MD
• Evan B Eller, M.D.
• Vanessa Fernandez Eller, MD

• Recreation Therapist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Recreation Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; 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.