Shanda Laree Francisco, CADC II

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

655 Issued in AZ

Practice address

440 N Paiute Dr
Cedar City, UT 84721-6181

Phone

(435) 586-1112

Fax

(435) 238-4262

NPI assigned

Jan 29, 2019

Last updated

Feb 6, 2024By the provider in NPPES

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 names 1

• Shanda Laree Wauneka Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Paiute Indian Tribe of Utah

  • Clinic/Center
  • Richfield, UT
  • NPI 1336316975
  NPD
• Paiute Indian Tribe of Utah

  dba Four Points Health

  • Clinic/Center
  • Cedar City, UT
  • NPI 1700062296
  NPD
• Paiute Indian Tribe of Utah

  • Federally Qualified Health Center (FQHC)
  • St George, UT
  • NPI 1801063441
  NPD
• Paiute Indian Tribe of Utah

  • Clinic/Center
  • Kanosh, UT
  • NPI 1992972525
  NPD

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

{
    "created_epoch": "1548720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1467916973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 N PAIUTE DR",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847216181",
            "telephone_number": "435-586-1112",
            "fax_number": "435-238-4262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 N PAIUTE DR",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847216181",
            "telephone_number": "435-586-1112",
            "fax_number": "435-238-4262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANCISCO",
        "first_name": "SHANDA",
        "middle_name": "LAREE",
        "credential": "CADC II",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-29",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANDA",
            "last_name": "WAUNEKA",
            "middle_name": "LAREE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Chad R Fletcher, O.T.R.L
• Rosemary Fletcher, LCSW
• Forging Fortitude
• Randy Joe Forsyth, P.T.
• Tori B Forsyth, P.T.
• Tenille Snow Francisco, PHARMD
• Diego Franco Avila
• Freedom Prosthetic & Orthotics, LLC
• Fresenius Medical Care Cedar City, LLC (Fresenius Medical Care Cedar City)
• Morgan Brianne Frisbie, ATC

• Addiction (Substance Use Disorder) Counselor in Cedar City, UT
• Providers in Cedar City, UT by specialty
• Addiction (Substance Use Disorder) Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; 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.