Individual provider Active NPI

Shannon Dawn Kleinschmidt

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1164123725
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
285525 Issued in AZ
Practice address
9321 W Thomas Rd Ste 405
Phoenix, AZ 85037-3399
Phone
(623) 236-8507
NPI assigned
Mar 13, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 285525 AZ Primary

Addresses

Primary practice location

9321 W Thomas Rd Ste 405
Phoenix, AZ 85037-3399

Mailing address

401 Commerce St Ste 600
Nashville, TN 37219-2518
Phone (615) 345-6903

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230421002214 AZ Practitioner - Nurse Practitioner 1355706565 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
VHS Outpatient Clinics IncGroup PAC ID 4486566726, 206 clinicians
Banner Physician Specialists Arizona LLCGroup PAC ID 6204002272, 371 clinicians

Practice addresses (Care Compare)

5130 W Baseline Rd
Suite 102
Laveen, AZ 85339-2984
Phone (602) 237-0039

7701 W Aspera Blvd
Stes 102 201 301
Glendale, AZ 85308-7935
Phone (623) 248-2100

9321 W Thomas Rd
Suite 405
Phoenix, AZ 85037-3399
Phone (623) 236-8507

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
285525AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Centers for Digestive Health LLC CurrentSince Mar 20, 2023 Accepting new patients
VHS Outpatient Clinics, Inc. CurrentSince Jun 1, 2024 Accepting new patients
Banner Physician Specialists Arizona LLC CurrentSince Dec 15, 2025 Accepting new patients
Banner Physician Specialists Arizona LLC CurrentSince Dec 15, 2025 Accepting new patients
VHS Outpatient Clinics, Inc. CurrentSince Jun 1, 2024 Accepting new patients

Locations

2680 S Val Vista Dr
Ste 116
Gilbert, AZ 85295
Phone (480) 253-5674

7701 W Aspera Blvd
Ste 102
Glendale, AZ 85308
Phone (623) 248-2100

7701 W Aspera Blvd
#102
Glendale, AZ 85308

5130 W Baseline Rd
Ste 102
Laveen, AZ 85339
Phone (602) 237-0039

13640 N Plaza del Rio Blvd
Peoria, AZ 85381
Phone (623) 876-3800

9321 W Thomas Rd
Ste 405
Phoenix, AZ 85037
Phone (623) 236-8507

9305 W Thomas Rd
Ste 478
Phoenix, AZ 85037
Phone (623) 236-8507

10181 N 92nd St
Ste 101
Scottsdale, AZ 85258
Phone (480) 657-3400

14416 W Meeker Blvd
Sun City West, AZ 85375
Phone (623) 583-5083

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1678665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1164123725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 COMMERCE ST STE 600",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372192518",
            "telephone_number": "615-345-6903",
            "fax_number": "615-345-6905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9321 W THOMAS RD STE 405",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850373399",
            "telephone_number": "623-236-8507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEINSCHMIDT",
        "first_name": "SHANNON",
        "middle_name": "DAWN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-13",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "285525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.