Shaniqua Lopez

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

2559 Merriman Rd
Medford, OR 97501-1260

Phone

(541) 237-0053

Fax

(541) 200-3450

NPI assigned

Aug 27, 2025

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1756252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1770462525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 NEBRASKA AVE BLDG A",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975275700",
            "telephone_number": "541-956-4943",
            "fax_number": "541-295-3085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2559 MERRIMAN RD",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975011260",
            "telephone_number": "541-237-0053",
            "fax_number": "541-200-3450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "SHANIQUA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-27",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Longwisch
• James Christian Loos, MD
• Samantha Laverne Loper
• Arnold Jorge Lopez
• Ivan Lopez
• Tammy Marie Lord
• Marieka Denise Losinski, L.C.S.W
• June E Louderback, CADC II
• Allison Loudermilk, M.D.
• Mackenzie Loughland, MD

• Peer Specialist in Medford, OR
• Providers in Medford, OR by specialty
• Peer Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; 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.