Individual provider Active NPI

Shanda Katherine Ciganick

  • Addiction (Substance Use Disorder) Counselor
  • Apache Junction, AZ
National Provider Identifier
1366798464
Registry record updated Jul 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
LSAT 12049 Issued in AZ
Practice address
10444 E Billings St
Apache Junction, AZ 85120-4240
Phone
(480) 734-0199
NPI assigned
Jul 26, 2012
Last updated
Jul 26, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LSAT 12049 AZ Primary

Addresses

Primary practice location

10444 E Billings St
Apache Junction, AZ 85120-4240

Mailing address

10444 E Billings St
Apache Junction, AZ 85120-4240
Phone (480) 734-0199

Other names 1

  • Shanda Katherine Slaght Former name

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

State licenses

LicenseStateTypeSpecialty
LSAT 12049AZMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1343260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343260800000",
    "number": "1366798464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10444 E BILLINGS ST",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "851204240",
            "telephone_number": "480-734-0199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10444 E BILLINGS ST",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "851204240",
            "telephone_number": "480-734-0199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIGANICK",
        "first_name": "SHANDA",
        "middle_name": "KATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-26",
        "last_updated": "2012-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "LSAT 12049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANDA",
            "last_name": "SLAGHT",
            "middle_name": "KATHERINE",
            "credential": "LSAT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Apache Junction, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2012; 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.