Organization Active NPI

Light at the End PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Queen Creek, AZ
National Provider Identifier
1114690401
Registry record updated Jan 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
LIGHT AT THE END PLLC
Practice address
21168 E Ocotillo Rd # 1045
Queen Creek, AZ 85142-8175
Phone
(623) 265-6220
Fax
(866) 491-7389
NPI assigned
Aug 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2026

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

Authorized official

Name
Shavaun J Johnson, DNP
Title
Ceo
Phone
(623) 265-6220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

21168 E Ocotillo Rd # 1045
Queen Creek, AZ 85142-8175

Mailing address

21168 E Ocotillo Rd # 1045
Queen Creek, AZ 85142-8175
Phone (623) 265-6220

Other names 1

  • Light at the End Behavioral Health Services Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.linkedin.com/in/dr-shavaun-johnson-dnp-aprn-pmhnp-bc-333bb01b9/ Direct

National Provider Directory

National Provider Directory

Locations

2135 E University Dr
Ste 120
Mesa, AZ 85213

NPI Registry JSON

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

{
    "created_epoch": "1627776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767312000000",
    "number": "1114690401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21168 E OCOTILLO RD # 1045",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851428175",
            "telephone_number": "623-265-6220",
            "fax_number": "866-491-7389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21168 E OCOTILLO RD # 1045",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851428175",
            "telephone_number": "623-265-6220",
            "fax_number": "866-491-7389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHT AT THE END PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-01",
        "last_updated": "2026-01-02",
        "certification_date": "2026-01-02",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SHAVAUN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "623-265-6220",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.linkedin.com/in/dr-shavaun-johnson-dnp-aprn-pmhnp-bc-333bb01b9/",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Linked In",
            "address_1": "20450 E Ocotillo Rd",
            "city": "Queen Creek",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "851421213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Light at the End Behavioral Health Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Light at the End Behavioral Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Queen Creek, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2026; 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.