Individual provider Active NPI

Shawn E Siqueiros, RN, NP

  • Family Health Clinical Nurse Specialist
  • Tucson, AZ
National Provider Identifier
1114069440
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Health Clinical Nurse SpecialistTaxonomy code 364SF0001X
License
AP5434 Issued in AZ
Practice address
6950 E Golf Links Rd
Tucson, AZ 85730-1017
Phone
(520) 670-3909
Fax
(520) 309-2560
NPI assigned
Feb 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X RN098814 AZ
Family Health Clinical Nurse Specialist 364SF0001X AP5434 AZ Primary

Addresses

Primary practice location

6950 E Golf Links Rd
Tucson, AZ 85730-1017

Mailing address

839 W Congress St
Tucson, AZ 85745-2819
Phone (520) 670-3909

Other identifiers 1

IdentifierTypeStateIssuer
613415MedicaidAZ

Other names 1

  • Shawn Siqueiros Other name

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
I20140930000116 AZ Practitioner - Nurse Practitioner 1759501554 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
El Rio Santa Cruz Neighborhood Health Center, Inc.Group PAC ID 6305739244, 283 clinicians

Practice addresses (Care Compare)

101 W Irvington Rd
Tucson, AZ 85714-3050
Phone (520) 670-3909

3655 E Grant Rd
Tucson, AZ 85716-2933
Phone (520) 670-3909

6950 E Golf Links Rd
Tucson, AZ 85730-1017
Phone (520) 670-3909

839 W Congress St
Tucson, AZ 85745-2819
Phone (520) 670-3909

Hospital & facility affiliations

  • Tucson Medical Center Hospital, Tucson, AZ, CCN 030006

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN098814AZMDSchool Registered Nurse
AP5434AZMDFamily Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
El Rio Santa Cruz Neighborhood Health Center, Inc CurrentSince Jul 1, 2014 Accepting new patients
El Rio Santa Cruz Neighborhood Health Center, Inc CurrentSince Jul 1, 2014 Accepting new patients
El Rio Santa Cruz Neighborhood Health Center Past Accepting new patients
El Rio Santa Cruz Neighborhood Health Center, Inc Past Accepting new patients
El Rio Santa Cruz Neighborhood Health Center, Inc Past Accepting new patients

Locations

1101 E Broadway Blvd
Tucson, AZ 85719
Phone (520) 624-7750

3655 E Grant Rd
Tucson, AZ 85716
Phone (520) 440-6323

434 E University Blvd
Ste 100
Tucson, AZ 85705
Phone (520) 309-4250

225 W Irvington Rd
Tucson, AZ 85714
Phone (520) 670-3857

3950 S Country Club Rd
Ste 130
Tucson, AZ 85714
Phone (520) 874-2778

1500 W Commerce Ct
Tucson, AZ 85746
Phone (520) 309-3601

101 W Irvington Rd
Bldg 3C
Tucson, AZ 85714
Phone (520) 573-0096

320 W Prince Rd
Tucson, AZ 85705
Phone (520) 838-7663

6950 E Golf Links Rd
Tucson, AZ 85730
Phone (520) 309-3250

630 N Alvernon Way
Tucson, AZ 85711
Phone (520) 202-1800

1230 S Cherrybell Stra
Tucson, AZ 85713
Phone (520) 310-7316

101 W Irvington Rd
Tucson, AZ 85714
Phone (520) 573-0096

7490 S Camino de Oeste
Tucson, AZ 85746
Phone (520) 879-6039

1500 W Commerce Ct
Bldg 12
Tucson, AZ 85746

101 W Irvington Rd
Bldg 10
Tucson, AZ 85714
Phone (520) 309-4585

839 W Congress St
Tucson, AZ 85745
Phone (520) 670-3707

Interoperability endpoints

  • Direct secure messaging: ssiqueiros18330@elrio.direct.ci.com

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1114069440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "839 W CONGRESS ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857452819",
            "telephone_number": "520-670-3909",
            "fax_number": "520-309-2560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6950 E GOLF LINKS RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857301017",
            "telephone_number": "520-670-3909",
            "fax_number": "520-309-2560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIQUEIROS",
        "first_name": "SHAWN",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "RN, NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "AZ",
            "license": "RN098814",
            "primary": false
        },
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "AZ",
            "license": "AP5434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "613415",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAWN",
            "last_name": "SIQUEIROS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.