Active NPI
Shawn D Gillespie, CPO
- Prosthetist
- Yuma, AZ
National Provider Identifier
1154525764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- Practice address
- 2281 W 24TH St
Ste 14
Yuma, AZ 85364-6154 - Phone
- (928) 314-0030
- Fax
- (928) 314-0040
- NPI assigned
- Jun 14, 2007
- Last updated
- Sep 11, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | |||
| Prosthetist | 224P00000X | Primary |
Addresses
Primary practice location
2281 W 24TH St
Ste 14
Yuma, AZ 85364-6154
Mailing address
2281 W 24TH St
Ste 14
Yuma, AZ 85364-6154
Phone (928) 314-0030
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AZ0278110 | Other | AZ | BLUE CROSS |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Prosthetics and Orthotics Solutions, Inc. | Orthotist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Prosthetic/Orthotic Supplier
- Yuma, AZ
- NPI 1700973948
Orthotist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1154525764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2281 W 24TH ST",
"address_2": "STE 14",
"city": "YUMA",
"state": "AZ",
"postal_code": "853646154",
"telephone_number": "928-314-0030",
"fax_number": "928-314-0040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2281 W 24TH ST",
"address_2": "STE 14",
"city": "YUMA",
"state": "AZ",
"postal_code": "853646154",
"telephone_number": "928-314-0030",
"fax_number": "928-314-0040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLESPIE",
"first_name": "SHAWN",
"middle_name": "D",
"credential": "CPO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-14",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": null,
"license": null,
"primary": false
},
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "AZ0278110",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
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- Gila Ridge Dentistry West LLC (Gila Ridge Dental West)
- Gila Valley Medical Group LLC
- Cynthia Elizabeth Gill
- Stephen Gipson, DO
- GL Medical Group an Az Professional LLC (Galo Health)
- David A Gladysz, PT
- Clarissa Dawn Glover-Danque, O.D.
- Stamatia Fissas Gockel, DO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.