Active NPI
Shannah Lynne Biggan, PH.D.
- Clinical Neuropsychologist
- Tucson, AZ
National Provider Identifier
1295877306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 3255
- Practice address
- 7461 E Tanque Verde Rd
Tucson, AZ 85715-3477 - Phone
- (520) 352-9955
- Fax
- (833) 915-0222
- NPI assigned
- Feb 13, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 3255 | AZ | Primary |
| Psychologist | 103T00000X | 3255 | AZ |
Addresses
Primary practice location
7461 E Tanque Verde Rd
Tucson, AZ 85715-3477
Mailing address
2450 E River Rd
Tucson, AZ 85718-6526
Phone (520) 352-9955
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 680015965 | Other | AZ | MEDICARE RAILROAD |
| 2351033 | Other | AZ | AETNA |
| 193443 | Other | AZ | MANAGED HEALTH NETWORK |
| 473843 | Medicaid | AZ | |
| AZ0616070 | Other | AZ | BLUE CROSS BLUE SHIELD AZ |
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
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
6019 E Grant Rd
Tucson, AZ 85712-2316
Phone (520) 352-9955
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3255 | AZ | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neuropsychology LTD | Clinical Neuropsychologist | Current | Accepting new patients |
| Southwest Neuropsychology Associates, P.C. | Clinical Neuropsychologist | Past | Accepting new patients |
Locations
6019 E Grant Rd
Tucson, AZ 85712
Phone (520) 352-9955
7461 E Tanque Verde Rd
Tucson, AZ 85715
Phone (520) 320-6230
2650 N Wyatt Dr
Tucson, AZ 85712
Phone (520) 320-6230
Organizations & group practices 2
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.
-
- Clinical Neuropsychologist
- Tucson, AZ
- NPI 1881867570
-
- Psychologist
- Tucson, AZ
- NPI 1114069234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574208000000",
"number": "1295877306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2450 E RIVER RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857186526",
"telephone_number": "520-352-9955",
"fax_number": "520-352-9960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7461 E TANQUE VERDE RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857153477",
"telephone_number": "520-352-9955",
"fax_number": "833-915-0222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIGGAN",
"first_name": "SHANNAH",
"middle_name": "LYNNE",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-13",
"last_updated": "2019-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "AZ",
"license": "3255",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "AZ",
"license": "3255",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "680015965",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2351033",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MANAGED HEALTH NETWORK",
"identifier": "193443",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "473843",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD AZ",
"identifier": "AZ0616070",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.