Shandelon Garner, RN

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

186149 Issued in AZ

Practice address

2240 Winrow Rd
Fort Huachuca, AZ 85613-5080

Phone

(520) 533-5126

NPI assigned

Sep 1, 2016

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472688000000",
    "number": "1649726290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 CARLSON LOOP",
            "city": "FORT HUACHUCA",
            "state": "AZ",
            "postal_code": "85613",
            "telephone_number": "318-218-5688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 WINROW RD",
            "city": "FORT HUACHUCA",
            "state": "AZ",
            "postal_code": "856135080",
            "telephone_number": "520-533-5126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARNER",
        "first_name": "SHANDELON",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-117468",
            "primary": false
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "AZ",
            "license": "186149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "186149",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittaney Ryan Ferrell, LCSW
• Isabel Garcia Flores, DPT
• Chrisann Foret, LPN
• Paul G Foster, RDH
• Karl Kiyotaka Furukawa, DDS
• Kathleen Garrett
• Terrie Gibson
• Mary Eastep Gilstrap, RDH
• Graceful Beginnings Healthcare Consulting Services
• Jolleen Gistinger Gray, RN

• Community Health Registered Nurse in Fort Huachuca, AZ
• Providers in Fort Huachuca, AZ by specialty
• Community Health Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; 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.