Shannon Orlando Roberts, MBA

Primary specialty

Child Mental Illness Respite CareTaxonomy code 385HR2055X

License

4119 Issued in AZ

Practice address

3657 S Double Echo Rd
Tucson, AZ 85735-5132

Phone

(520) 908-1461

NPI assigned

Dec 4, 2006

Sex

Male

Sole proprietor

Yes

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

Credentials

Master of Business Administration

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780742916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3657 S DOUBLE ECHO RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857355132",
            "telephone_number": "520-908-1461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3657 S DOUBLE ECHO RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857355132",
            "telephone_number": "520-908-1461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "SHANNON",
        "middle_name": "ORLANDO",
        "name_prefix": "Mr.",
        "credential": "MBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "385HR2055X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Mental Illness, Child",
            "state": "AZ",
            "license": "4119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leah Roberts, LCSW
• Lynne Roberts
• Mary Ann Roberts, NNP
• Melvin D Roberts, M.D.
• Sarah Melanie Roberts, R.N.
• Spencer Reed Roberts, DO
• Stephanie Roberts
• Stephanie Corrigan Roberts, PT, DPT
• Stephanie L Roberts, FNP
• Thomas Slattery Roberts, MD

• Child Mental Illness Respite Care in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Child Mental Illness Respite Care in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.