Shaunda Aylene Bueno, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP8976 Issued in AZ

Practice address

269 S Candy LN
Cottonwood, AZ 86326

Phone

(928) 639-6174

NPI assigned

Sep 15, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Triunity Healthcare, PLLC

  • Primary Care Nurse Practitioner
  • Clarkdale, AZ
  • NPI 1588501290
  NPD Authorized official

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

{
    "created_epoch": "1473897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545436800000",
    "number": "1215485529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 S COYOTE HILL RD",
            "city": "CLARKDALE",
            "state": "AZ",
            "postal_code": "863243500",
            "telephone_number": "928-300-7509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 S CANDY LN",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "86326",
            "telephone_number": "928-639-6174"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1830 S Coyote Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Clarkdale",
            "state": "AZ",
            "postal_code": "863243500",
            "country_code": "US",
            "telephone_number": "928-300-7509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUENO",
        "first_name": "SHAUNDA",
        "middle_name": "AYLENE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-15",
        "last_updated": "2018-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "AP8976",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP8976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Brennan, LCSW
• Jenna Nateal Brown-Kirk, RN
• Martha Brown, RD, CDE
• Bryan J. Shanahan DDS, PC
• Donna Jean Buchanan, PMHNP, FNP
• Pamela G. Burd, M.S., CCC-SLP
• Ronald Lee Burke
• Susanne Watson Burnett, R. P.T.
• Samuel M Butman, MD
• C. Dexter Hayes, MD, PC

• Family Nurse Practitioner in Cottonwood, AZ
• Providers in Cottonwood, 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 Dec 22, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.