Active NPI
Shea Turk
- Counselor
- Surprise, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LAC-18201
- Practice address
- 15351 W Bell Rd
Surprise, AZ 85374-4580 - Phone
- (877) 809-5092
- NPI assigned
- Sep 6, 2022
- Last updated
- Sep 6, 2022
- Sex
- Female
- Sole proprietor
- Yes
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-18201 | AZ | Primary |
Addresses
Primary practice location
15351 W Bell Rd
Surprise, AZ 85374-4580
Mailing address
15351 W Bell Rd
Surprise, AZ 85374-4580
Other practice location 1
4200 N Falcon Dr Unit 41
Goodyear, AZ 85395-2304
Phone (877) 809-5092
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LAC-18201 | AZ | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adelante Healthcare, Inc. | Current | Accepting new patients | |
| Adelante Healthcare, Inc | Current | Accepting new patients | |
| Adelante Healthcare, Inc. | Current | Accepting new patients |
Locations
306 E Monroe Ave
Buckeye, AZ 85326
Phone (623) 386-4814
13471 W Cornerstone Blvd
Goodyear, AZ 85395
Phone (844) 551-6691
1705 W Main St
Mesa, AZ 85201
Phone (480) 845-6769
15525 N 83rd Ave
Ste 104
Peoria, AZ 85382
3033 N Central Ave
Ste 145
Phoenix, AZ 85012
500 W Thomas Rd
Ste 870
Phoenix, AZ 85013
Phone (602) 263-0222
9610 N Metro Pkwy W
Phoenix, AZ 85051
Phone (602) 618-0002
15317 W Bell Rd
Ste 100
Surprise, AZ 85374
15317 W Bell Rd
Ste 106
Surprise, AZ 85374
Phone (623) 544-5190
15351 W Bell Rd
Surprise, AZ 85374
811 N Tegner St
Ste 113
Wickenburg, AZ 85390
Organizations & group practices 3
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.
-
dba Adelante Healthcare-Wickenburg
- Federally Qualified Health Center (FQHC)
- Wickenburg, AZ
- NPI 1083772545
-
dba Adelante Healthcare-Roosevelt
- Federally Qualified Health Center (FQHC)
- Phoenix, AZ
- NPI 1215734124
-
dba Adelante Healthcare-Buckeye
- Federally Qualified Health Center (FQHC)
- Buckeye, AZ
- NPI 1801954441
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662422400000",
"number": "1295456580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15351 W BELL RD",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853744580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15351 W BELL RD",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853744580",
"telephone_number": "877-809-5092"
}
],
"practiceLocations": [
{
"address_1": "4200 N Falcon Dr Unit 41",
"address_purpose": "LOCATION",
"city": "Goodyear",
"state": "AZ",
"postal_code": "853952304",
"country_code": "US",
"telephone_number": "877-809-5092",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TURK",
"first_name": "SHEA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-06",
"last_updated": "2022-09-06",
"certification_date": "2022-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "AZ",
"license": "LAC-18201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Surprise, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; 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.