Active NPI
Angela Shopmeyer
- Professional Counselor
- Phoenix, AZ
National Provider Identifier
1295973246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 13749
- Practice address
- 1830 E Roosevelt St
Phoenix, AZ 85006-3641 - Phone
- (602) 256-5402
- Fax
- (602) 256-5301
- NPI assigned
- Jan 29, 2009
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 13749 | AZ | Primary |
Addresses
Primary practice location
1830 E Roosevelt St
Phoenix, AZ 85006-3641
Mailing address
1830 E Roosevelt St
Phoenix, AZ 85006-3641
Phone (602) 256-5402
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13749 | AZ | MD | Pediatric Nutrition Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315872000000",
"number": "1295973246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1830 E ROOSEVELT ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850063641",
"telephone_number": "602-256-5402",
"fax_number": "602-256-5301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1830 E ROOSEVELT ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850063641",
"telephone_number": "602-256-5402",
"fax_number": "602-256-5301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHOPMEYER",
"first_name": "ANGELA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-01-29",
"last_updated": "2011-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "13749",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.