Organization Active NPI

Sheehan FNP PLLC

  • Family Nurse Practitioner
  • Kingman, AZ
National Provider Identifier
1316841943
Registry record updated Oct 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
SHEEHAN FNP PLLC
Practice address
1115 N Stockton Hill Rd Ste 101
Kingman, AZ 86401-6232
Phone
(928) 263-1481
Fax
(928) 307-7688
NPI assigned
Oct 6, 2026
Last updated
Oct 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2026

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

Authorized official

Name
Andrea Sheehan, FNP
Title
Owner
Phone
(928) 529-0374

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X Primary

Addresses

Primary practice location

1115 N Stockton Hill Rd Ste 101
Kingman, AZ 86401-6232

Mailing address

1115 N Stockton Hill Rd Ste 101
Kingman, AZ 86401-6232
Phone (928) 263-1481

Other identifiers 1

IdentifierTypeStateIssuer
242099MedicaidAZ

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1791244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791244800000",
    "number": "1316841943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 N STOCKTON HILL RD STE 101",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864016232",
            "telephone_number": "928-263-1481",
            "fax_number": "928-307-7688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 N STOCKTON HILL RD STE 101",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864016232",
            "telephone_number": "928-263-1481",
            "fax_number": "928-307-7688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEEHAN FNP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-06",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A",
        "authorized_official_last_name": "SHEEHAN",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-529-0374",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "242099",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingman, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.