Shea Pediatrics PC

Primary specialty

Family Health Clinical Nurse SpecialistTaxonomy code 364SF0001X

License

AP5312 Issued in AZ

Legal business name

SHEA PEDIATRICS PC

Practice address

8952 E Desert Cove Ave
#110
Scottsdale, AZ 85260-6775

Phone

(480) 767-3169

NPI assigned

Feb 13, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Lokeswari Bucchireddigari, FNP

Title

RN,FNP

Phone

(480) 652-2931

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Duc Cong Vo, M.D.

  • Pediatrics Physician
  • Scottsdale, AZ
  • NPI 1871554006
  NPD (past)

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

{
    "created_epoch": "1392249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392249600000",
    "number": "1114341906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8952 E DESERT COVE AVE",
            "address_2": "#110",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606775",
            "telephone_number": "480-767-3169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8952 E DESERT COVE AVE",
            "address_2": "#110",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606775",
            "telephone_number": "480-767-3169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEA PEDIATRICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-13",
        "last_updated": "2014-02-13",
        "status": "A",
        "authorized_official_last_name": "BUCCHIREDDIGARI",
        "authorized_official_first_name": "LOKESWARI",
        "authorized_official_title_or_position": "RN,FNP",
        "authorized_official_telephone_number": "480-652-2931",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "364SF0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "AZ",
            "license": "AP5312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luay Shayya, M.D.
• Bonnie Shcolnik, PH. D
• Shea Anesthesia Professionals LLC
• Shea Medical Group, LLC
• Shea Outpatient Treatment Center
• Shea Pediatrics PC
• Shea Specialty Surgery LLC
• Shea Surgical Center LLC
• Shea Urgent Care LLC
• Shea Womens Care PC

• Family Health Clinical Nurse Specialist in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Family Health Clinical Nurse Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2014; 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.