Active NPI
Shannon Lisa McGrath, APN
- Women's Health Nurse Practitioner
- Tempe, AZ
National Provider Identifier
1417198136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- APN 617
- Practice address
- 2155 E Conference Dr Ste 115
Tempe, AZ 85284-2604 - Phone
- (480) 831-2445
- NPI assigned
- Mar 9, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | APN 617 | NV | Primary |
Addresses
Primary practice location
2155 E Conference Dr Ste 115
Tempe, AZ 85284-2604
Mailing address
2155 E Conference Dr Ste 115
Tempe, AZ 85284-2604
Phone (480) 831-2445
Other practice location 1
6115 E Grant Rd
Tucson, AZ 85712-5828
Phone (520) 901-2969
Other practice location 2
645 Sierra Rose Dr
Suite 205
Reno, NV 89511-2366
Phone (775) 828-1200 ext. 109
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
| License | State | Type | Specialty |
|---|---|---|---|
| APN 617 | NV | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nevada Fertility Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Reproductive Endocrinology Physician
- Las Vegas, NV
- NPI 1396361689
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1417198136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2155 E CONFERENCE DR STE 115",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852842604",
"telephone_number": "480-831-2445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2155 E CONFERENCE DR STE 115",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852842604",
"telephone_number": "480-831-2445"
}
],
"practiceLocations": [
{
"address_1": "6115 E Grant Rd",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857125828",
"country_code": "US",
"telephone_number": "520-901-2969",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "645 Sierra Rose Dr",
"address_2": "Suite 205",
"address_purpose": "LOCATION",
"city": "Reno",
"state": "NV",
"postal_code": "895112366",
"country_code": "US",
"telephone_number": "775-828-1200 x109",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCGRATH",
"first_name": "SHANNON",
"middle_name": "LISA",
"name_prefix": "Mrs.",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-09",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "NV",
"license": "APN 617",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.