Active NPI
Shawna Louise Porumb, RN
- Registered Nurse
- Peoria, AZ
National Provider Identifier
1841572815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN106439
- Practice address
- 21258 North 81St Ave.
Peoria, AZ 85382-4414 - Phone
- (623) 412-4907
- NPI assigned
- Sep 15, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN106439 | AZ | Primary |
Addresses
Primary practice location
21258 North 81St Ave.
Peoria, AZ 85382-4414
Mailing address
8040 W Yukon Dr
Peoria, AZ 85382-5425
Phone (602) 334-3204
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 |
|---|---|---|---|
| RN106439 | AZ | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316044800000",
"number": "1841572815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8040 W YUKON DR",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853825425",
"telephone_number": "602-334-3204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21258 NORTH 81ST AVE.",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853824414",
"telephone_number": "623-412-4907"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORUMB",
"first_name": "SHAWNA",
"middle_name": "LOUISE",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-15",
"last_updated": "2011-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AZ",
"license": "RN106439",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peoria, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.