Individual provider Active NPI

Rigpa Shunya, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Lake Havasu City, AZ
National Provider Identifier
1306154133
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
238748 Issued in AZ
Practice address
2187 Swanson Ave
Lake Havasu City, AZ 86403-6838
Phone
(928) 855-3432
NPI assigned
Sep 14, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 201505063NP-PP OR
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 22032 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 113097 NE
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X G133428 IA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 238748 AZ Primary

Addresses

Primary practice location

2187 Swanson Ave
Lake Havasu City, AZ 86403-6838

Mailing address

3707 N Stockton Hill Rd Ste B
Kingman, AZ 86409-0507
Phone (928) 757-8111

Other identifiers 1

IdentifierTypeStateIssuer
106035MedicaidAZ

Other names 1

  • Mr. Adviat Advait Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
22032CAMDFamily Medicine Physician
113097NEMDPsychiatric/Mental Health Nurse Practitioner
G133428IAMDPsychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Mohave Mental Health Clinic Inc CurrentSince Feb 14, 2022 Accepting new patients
Mohave Mental Health Clinic Inc CurrentSince Feb 14, 2022 Accepting new patients
Mohave Mental Health Clinic Inc Current Accepting new patients
Jennifer Rossi PHD PC Past Accepting new patients
Rigpa Shunya Psychiatric/Mental Health PastSince May 1, 2016 Accepting new patients

Locations

3707 N Stockton Hill Rd
Ste B
Kingman, AZ 86409

2187 Swanson Ave
Lk Havasu Cty, AZ 86403
Phone (928) 855-3432

Organizations & group practices 5

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": "1284422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1306154133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3707 N STOCKTON HILL RD STE B",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864090507",
            "telephone_number": "928-757-8111",
            "fax_number": "928-757-3256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2187 SWANSON AVE",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864036838",
            "telephone_number": "928-855-3432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUNYA",
        "first_name": "RIGPA",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-14",
        "last_updated": "2022-09-12",
        "certification_date": "2022-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "201505063NP-PP",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "22032",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NE",
            "license": "113097",
            "primary": false
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G133428",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "238748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106035",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADVIAT",
            "last_name": "ADVAIT",
            "prefix": "MR.",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lake Havasu City, AZ

Sources for this page

Verify at the official NPI Registry.