Individual provider Active NPI

Shannah Lynne Biggan, PH.D.

  • Clinical Neuropsychologist
  • Tucson, AZ
National Provider Identifier
1295877306
Registry record updated Nov 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
3255 Issued in AZ
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

Updated by the provider on Nov 20, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
680015965OtherAZMEDICARE RAILROAD
2351033OtherAZAETNA
193443OtherAZMANAGED HEALTH NETWORK
473843MedicaidAZ
AZ0616070OtherAZBLUE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080411000120 AZ Practitioner - Clinical Psychologist 4284659095 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
3255AZMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Neuropsychology LTD Clinical Neuropsychologist CurrentSince May 1, 2008 Accepting new patients
Southwest Neuropsychology Associates, P.C. Clinical Neuropsychologist PastSince Jun 12, 2002 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.

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

Verify at the official NPI Registry.