Active NPI
Rebecca Gail Shroyer, R.N., B.S.N.
- Registered Nurse
- Teec Nos Pos, AZ
National Provider Identifier
1629364039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 28169711A
- Practice address
- Junction Highway 160 & Navajo Route 35
Teec Nos Pos, AZ 86514 - Phone
- (928) 656-5000
- NPI assigned
- Jun 23, 2011
- Last updated
- Jul 26, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 28169711A | IN | Primary |
Addresses
Primary practice location
Junction Highway 160 & Navajo Route 35
Teec Nos Pos, AZ 86514
Mailing address
HCR 6100, Box 30
Teec Nos Pos, AZ 86514
Phone (928) 656-5000
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
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28169711A | IN | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311638400000",
"number": "1629364039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HCR 6100, BOX 30",
"city": "TEEC NOS POS",
"state": "AZ",
"postal_code": "86514",
"telephone_number": "928-656-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "JUNCTION HIGHWAY 160 & NAVAJO ROUTE 35",
"city": "TEEC NOS POS",
"state": "AZ",
"postal_code": "86514",
"telephone_number": "928-656-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHROYER",
"first_name": "REBECCA",
"middle_name": "GAIL",
"name_prefix": "Ms.",
"credential": "R.N., B.S.N.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-23",
"last_updated": "2011-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IN",
"license": "28169711A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Teec Nos Pos, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.