Individual provider Active NPI

Shayna Moratt

  • Psychiatric/Mental Health Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1780108308
Registry record updated Jul 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP10420 Issued in AZ
Practice address
8836 N 23Rd Ave Ste B1
Phoenix, AZ 85021-4175
Phone
(602) 685-6000
NPI assigned
Jul 26, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP10420 AZ Primary

Addresses

Primary practice location

8836 N 23Rd Ave Ste B1
Phoenix, AZ 85021-4175

Mailing address

634 Arborway CT
Worthington, OH 43085-4801
Phone (614) 704-8569

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170830000542 AZ Practitioner - Nurse Practitioner 5193098903 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Terros, Inc.Group PAC ID 8224077045, 26 clinicians

Practice addresses (Care Compare)

3864 N 27TH Ave
Phoenix, AZ 85017-4703
Phone (602) 685-6000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Terros Inc CurrentSince Aug 1, 2017 Accepting new patients
Terros, Inc. Current Accepting new patients

Locations

8804 N 23rd Ave
Ste A1
Phoenix, AZ 85021

3003 N Central Ave
Ste 200
Phoenix, AZ 85012
Phone (602) 685-6132

4909 E McDowell Rd
Phoenix, AZ 85008
Phone (602) 244-9591

8836 N 23rd Ave
Ste B1
Phoenix, AZ 85021
Phone (602) 944-9810

3864 N 27th Ave
Phoenix, AZ 85017
Phone (602) 358-0078

Interoperability endpoints

  • Direct secure messaging: shayna.morattnp.p1@direct.terros.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1501027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501027200000",
    "number": "1780108308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "634 ARBORWAY CT",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430854801",
            "telephone_number": "614-704-8569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8836 N 23RD AVE STE B1",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850214175",
            "telephone_number": "602-685-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORATT",
        "first_name": "SHAYNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-26",
        "last_updated": "2017-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP10420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.