Shirley A. Mack

Primary specialty

ContractorTaxonomy code 171W00000X

License

460924 Issued in AZ

Practice address

8486 S Hunnic Dr
Tucson, AZ 85747-5989

Phone

(520) 777-8686

NPI assigned

Mar 21, 2008

Last updated

Mar 21, 2008By 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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1206057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206057600000",
    "number": "1669643250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8486 S HUNNIC DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857475989",
            "telephone_number": "520-777-8686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8486 S HUNNIC DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857475989",
            "telephone_number": "520-777-8686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACK",
        "first_name": "SHIRLEY",
        "middle_name": "A.",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-21",
        "last_updated": "2008-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "AZ",
            "license": "460924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSING CERTIFICATION",
            "identifier": "460924",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Curtis F Mack, M.D.
• David Charles Mack, LICSW(MA), LCSW(AZ)
• Deborah Lorraine Mack, LCSW
• Jeffrey T. Mack, M.D.
• Lamar Dion Mack, MBA
• Alexandra L Mackay, DPT
• Andrew Michael Mackelprang, O.D.
• Clark Mackelprang, DDS, MS
• Wendy Mackerricher, BMBS
• Vanessa Mackey-Bradley

• Contractor in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Contractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2008; 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.