Active NPI
Shana Morgan Liddell
- Counselor
- Sacaton, AZ
National Provider Identifier
1124505045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LAC-17024
- Practice address
- 483 W Seed Farm Rd
Sacaton, AZ 85147 - Phone
- (520) 562-3321
- NPI assigned
- Jul 24, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LAC-17024 | AZ | Primary |
Addresses
Primary practice location
483 W Seed Farm Rd
Sacaton, AZ 85147
Mailing address
8572 E Indian School Rd Unit D
Scottsdale, AZ 85251-4943
Phone (847) 302-7042
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LAC-17024 | AZ | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532390400000",
"number": "1124505045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8572 E INDIAN SCHOOL RD UNIT D",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852514943",
"telephone_number": "847-302-7042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "483 W SEED FARM RD",
"city": "SACATON",
"state": "AZ",
"postal_code": "85147",
"telephone_number": "520-562-3321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIDDELL",
"first_name": "SHANA",
"middle_name": "MORGAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-24",
"last_updated": "2018-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "AZ",
"license": "LAC-17024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacaton, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.