Active NPI
Shalonda Whitmore, BA
- Contractor
- Tucson, AZ
National Provider Identifier
1295979995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 1613394
- Practice address
- 699 W Magee Rd
#23102
Tucson, AZ 85704-4651 - Phone
- (216) 965-6906
- Fax
- (520) 750-0056
- NPI assigned
- Apr 24, 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 |
|---|---|---|---|---|
| Contractor | 171W00000X | 1613394 | AZ | Primary |
Addresses
Primary practice location
699 W Magee Rd
#23102
Tucson, AZ 85704-4651
Mailing address
699 W Magee Rd
#23102
Tucson, AZ 85704-4651
Phone (216) 965-6906
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1613394 | Other | AZ | DES OLCR |
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
- Credentials
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1613394 | AZ | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240531200000",
"number": "1295979995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "699 W MAGEE RD",
"address_2": "#23102",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857044651",
"telephone_number": "216-965-6906",
"fax_number": "520-750-0056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "699 W MAGEE RD",
"address_2": "#23102",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857044651",
"telephone_number": "216-965-6906",
"fax_number": "520-750-0056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITMORE",
"first_name": "SHALONDA",
"credential": "BA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-04-24",
"last_updated": "2009-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "AZ",
"license": "1613394",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DES OLCR",
"identifier": "1613394",
"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 Apr 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.