Active NPI
Sheiva Holloway
- Pediatric Nurse Practitioner
- Mesa, AZ
National Provider Identifier
1699340240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 202016492
- Practice address
- 1455 S Stapley Dr Ste 1
Mesa, AZ 85204-5850 - Phone
- (480) 633-1111
- NPI assigned
- May 26, 2021
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 202016492 | AZ | Primary |
Addresses
Primary practice location
1455 S Stapley Dr Ste 1
Mesa, AZ 85204-5850
Mailing address
2452 W Spruce Dr
Chandler, AZ 85286-6745
Other names 1
- Sheiva Vadipour
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | unknown | Direct |
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 |
|---|---|---|---|
| 202016492 | AZ | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allkids Urgent Care, LLC | Past | Accepting new patients | |
| Allkids Urgent Care, LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Mesa, AZ
- NPI 1366872756
-
- Urgent Care Clinic/Center
- Mesa, AZ
- NPI 1811098221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621987200000",
"number": "1699340240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2452 W SPRUCE DR",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852866745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1455 S STAPLEY DR STE 1",
"city": "MESA",
"state": "AZ",
"postal_code": "852045850",
"telephone_number": "480-633-1111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLOWAY",
"first_name": "SHEIVA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-26",
"last_updated": "2021-05-26",
"certification_date": "2021-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "AZ",
"license": "202016492",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "unknown",
"affiliation": "N",
"endpointDescription": "unknown",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1455 S Stapley Dr Ste 1",
"city": "Mesa",
"state": "AZ",
"country_code": "US",
"postal_code": "852045850",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "SHEIVA",
"last_name": "VADIPOUR",
"credential": "PNP-BC",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.