Shannon Grace Chittenden, APRN-CNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

235623 Issued in AZ

Practice address

115 E Williams Field Rd Ste 101
Gilbert, AZ 85295-5231

Phone

(480) 270-8318

NPI assigned

Dec 11, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Flagstaff Pain & Treatment Center

  • Pain Medicine (Anesthesiology) Physician
  • Flagstaff, AZ
  • NPI 1073127858
  Medicare reassignment NPD
• Gilbert Physical Medicine LLC

  • General Practice Physician
  • Gilbert, AZ
  • NPI 1265708317
  Medicare reassignment NPD
• SWSS LLC

  • Physical Medicine & Rehabilitation Physician
  • Scottsdale, AZ
  • NPI 1174988364
  NPD (past)

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

{
    "created_epoch": "1607644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1356947550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E WILLIAMS FIELD RD STE 101",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852955231",
            "telephone_number": "515-360-9127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E WILLIAMS FIELD RD STE 101",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852955231",
            "telephone_number": "480-270-8318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHITTENDEN",
        "first_name": "SHANNON",
        "middle_name": "GRACE",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-11",
        "last_updated": "2023-03-07",
        "certification_date": "2020-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "235623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA BOARD OF NURSING",
            "identifier": "235623",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "shannon.c@nascenthealthclinics.com",
            "affiliation": "N",
            "endpointDescription": "Work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Business Communications",
            "address_1": "115 E Williams Field Rd Ste 101",
            "city": "Gilbert",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852955231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sarah Kay Chinander, DPT
• Chiro Corp Management PLLC
• Chiropractic Solutions, Inc
• Lisa Chism
• Gautamy Chitiki Dhadham, MD;MBBS
• Brian Cho, PHARMD
• Sung E Cho, NP
• David L Chong, M.D.
• Kayla Noelle Chorny
• Chosen Evolution Healthcare LLC

• Adult Health Nurse Practitioner in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Adult Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.

Verify at the official NPI Registry.