Active NPI
Rigpa Shunya, NP
- Psychiatric/Mental Health Nurse Practitioner
- Lake Havasu City, AZ
National Provider Identifier
1306154133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 238748
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 106035 | Medicaid | AZ |
Other names 1
- Mr. Adviat Advait
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22032 | CA | MD | Family Medicine Physician |
| 113097 | NE | MD | Psychiatric/Mental Health Nurse Practitioner |
| G133428 | IA | MD | Psychiatric/Mental Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mohave Mental Health Clinic Inc | Current | Accepting new patients | |
| Mohave Mental Health Clinic Inc | Current | 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 | Past | 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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Brookings, OR
- NPI 1811357676
-
- Clinic/Center
- Lake Havasu City, AZ
- NPI 1316023864
-
- Clinic/Center
- Kingman, AZ
- NPI 1902894272
-
- Community/Behavioral Health Agency
- Kingman, AZ
- NPI 1922275692
-
- Clinical Psychologist
- Reedsport, OR
- NPI 1053593301
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.