Shannon Kay Jaramillo, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP4015 Issued in AZ

Practice address

1934 N State Route 89
Chino Valley, AZ 86323-5649

Phone

(928) 404-1488

NPI assigned

Aug 9, 2011

Sex

Female

Sole proprietor

No

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

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

Specialty

Nurse Practitioner

Education

University of Nevada, Las Vegas School of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Yavapai Primary CareGroup PAC ID 6305275504, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Yavapai Regional Medical Center Hospital, Prescott, AZ, CCN 030012

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Yavapai Primary Care

  • Family Medicine Physician
  • Prescott Valley, AZ
  • NPI 1346871076
  Medicare reassignment Care Compare group NPD
• Northern Arizona Healthcare Solutions P.C.

  • Family Nurse Practitioner
  • Chino Valley, AZ
  • NPI 1457794414
  Medicare reassignment NPD

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

• Yavapai Community Hospital Association

  • General Acute Care Hospital
  • Prescott, AZ
  • NPI 1902897820
  Care Compare affiliation

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

{
    "created_epoch": "1312848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473292800000",
    "number": "1124307186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1934 N STATE ROUTE 89",
            "city": "CHINO VALLEY",
            "state": "AZ",
            "postal_code": "863235643",
            "telephone_number": "928-404-1488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1934 N STATE ROUTE 89",
            "city": "CHINO VALLEY",
            "state": "AZ",
            "postal_code": "863235649",
            "telephone_number": "928-404-1488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARAMILLO",
        "first_name": "SHANNON",
        "middle_name": "KAY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-09",
        "last_updated": "2016-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP4015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan A Howell, APRN
• Mariah Hoyt
• Jacob Hrkal, DO
• Diana Christine Hubbell, NP
• James C Suit DDS, PA
• John R. Markham PC
• Charis Elizabeth Jones, RN
• Joy'S Presence L.L.C.
• Carolyn Kathan, FNP-C
• Kaye Lowell, Inc

• Family Nurse Practitioner in Chino Valley, AZ
• Providers in Chino Valley, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.