Shirley Ann Furlong, VN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN054782 Issued in AZ

Practice address

Alhambra School District No 68
4510 N 37TH Avenue
Phoenix, AZ 85019

Phone

(602) 336-2990

Fax

(602) 336-2271

NPI assigned

Oct 25, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Shirley Ann Otero-Furlong Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• County of Maricopa

  dba Alhambra School District #68

  • Local Education Agency (LEA)
  • Phoenix, AZ
  • NPI 1093938441
  NPD (past)

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

{
    "created_epoch": "1508889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548288000000",
    "number": "1396257762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ALHAMBRA SCHOOL DISTRICT NO 68",
            "address_2": "4510 N 37TH AVENUE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85019",
            "telephone_number": "602-336-2990",
            "fax_number": "602-336-2271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ALHAMBRA SCHOOL DISTRICT NO 68",
            "address_2": "4510 N 37TH AVENUE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85019",
            "telephone_number": "602-336-2990",
            "fax_number": "602-336-2271"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1855 N Fair Oaks Ave",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911031620",
            "country_code": "US",
            "telephone_number": "626-398-6300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FURLONG",
        "first_name": "SHIRLEY",
        "middle_name": "ANN",
        "credential": "VN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-25",
        "last_updated": "2019-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AZ",
            "license": "LPN054782",
            "primary": true
        },
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "693674",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS ADMINISTRATOR COUNTY OF MARICOPA ALHAMBRA SCHOOL DISTRICT NO 68",
            "identifier": "86-6000510",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "1093938441",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHIRLEY",
            "last_name": "OTERO-FURLONG",
            "middle_name": "ANN",
            "credential": "OTERO-FURLONG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christine Marchetti Funke, MD
• Courtney Fuquay, RBT
• Georgine Furaha
• Charuta Gavankar Furey, MD
• Donna Marie Furlong, RN
• Haley Elizabeth Furman, MD
• Julie-Kay Furmick, DO
• Mary Furr, CIT
• Robert Fuschini, LCSW
• Brianna Elizabeth Fusco, OTR/L

• Licensed Practical Nurse in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Licensed Practical Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; 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.