Active NPI
Shannon Lyn Pitcock
- Health Educator
- Scottsdale, AZ
National Provider Identifier
1720867120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- Practice address
- 34250 N 60TH St BLDG C
Scottsdale, AZ 85266-5202 - Phone
- (480) 596-9622
- NPI assigned
- Sep 25, 2023
- Last updated
- Mar 5, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Educator | 174H00000X | NU | Primary | |
| Health & Wellness Coach | 171400000X | NU |
Addresses
Primary practice location
34250 N 60TH St BLDG C
Scottsdale, AZ 85266-5202
Mailing address
34250 N 60TH St BLDG C
Scottsdale, AZ 85266-5202
Phone (480) 596-9622
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709596800000",
"number": "1720867120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34250 N 60TH ST BLDG C",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852665202",
"telephone_number": "480-596-9622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34250 N 60TH ST BLDG C",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852665202",
"telephone_number": "480-596-9622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PITCOCK",
"first_name": "SHANNON",
"middle_name": "LYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-25",
"last_updated": "2024-03-05",
"certification_date": "2024-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.