Active NPI
Shanobee Gage
- Nurse's Aide
- Tucson, AZ
National Provider Identifier
1467107383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- NMTX222362272R
- Practice address
- 2025 W Orange Grove Rd FL 2
Tucson, AZ 85704-1118 - Phone
- (520) 584-4500
- NPI assigned
- Feb 18, 2022
- 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 |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | NMTX222362272R | NM | Primary |
Addresses
Primary practice location
2025 W Orange Grove Rd FL 2
Tucson, AZ 85704-1118
Mailing address
3120 N Main St
Clovis, NM 88101-3528
Phone (575) 271-7488
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| YIF905118467 | Medicaid | NM |
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 |
|---|---|---|---|
| NMTX222362272R | NM | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645142400000",
"number": "1467107383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3120 N MAIN ST",
"city": "CLOVIS",
"state": "NM",
"postal_code": "881013528",
"telephone_number": "575-271-7488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2025 W ORANGE GROVE RD FL 2",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857041118",
"telephone_number": "520-584-4500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAGE",
"first_name": "SHANOBEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-18",
"last_updated": "2022-02-18",
"certification_date": "2022-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "NM",
"license": "NMTX222362272R",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "YIF905118467",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.