Active NPI
Shelly Stanley, RN
- School Registered Nurse
- Avondale, AZ
National Provider Identifier
1760706204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- RN133571
- Practice address
- 1252 S Avondale Blvd
Avondale, AZ 85323-8900 - Phone
- (623) 478-5710
- NPI assigned
- Mar 25, 2010
- Last updated
- Mar 25, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | RN133571 | AZ | Primary |
Addresses
Primary practice location
1252 S Avondale Blvd
Avondale, AZ 85323-8900
Mailing address
1252 S Avondale Blvd
Avondale, AZ 85323-8900
Phone (623) 478-5710
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN133571 | AZ | MD | School Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269475200000",
"number": "1760706204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1252 S AVONDALE BLVD",
"city": "AVONDALE",
"state": "AZ",
"postal_code": "853238900",
"telephone_number": "623-478-5710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1252 S AVONDALE BLVD",
"city": "AVONDALE",
"state": "AZ",
"postal_code": "853238900",
"telephone_number": "623-478-5710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANLEY",
"first_name": "SHELLY",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-25",
"last_updated": "2010-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "AZ",
"license": "RN133571",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Avondale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.