Individual provider Active NPI

Shannon Leigh Cheatham

  • Occupational Therapy Assistant
  • Tucson, AZ
National Provider Identifier
1861084261
Registry record updated Feb 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
COTA-000026 Issued in AZ
Practice address
231 W Giaconda Way Ste 103
Tucson, AZ 85704-4341
Phone
(520) 329-8830
NPI assigned
Feb 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X COTA-000026 AZ Primary

Addresses

Primary practice location

231 W Giaconda Way Ste 103
Tucson, AZ 85704-4341

Mailing address

8951 W Cloudwood Dr
Marana, AZ 85653-8891
Phone (850) 499-5098

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address shannon@milestoneAZ.com Health Information Exchange (HIE)

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

State licenses

LicenseStateTypeSpecialty
COTA-000026AZMDOccupational Therapy Assistant

Interoperability endpoints

  • Direct secure messaging: shannon@milestoneaz.com

NPI Registry JSON

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

{
    "created_epoch": "1612656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612656000000",
    "number": "1861084261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8951 W CLOUDWOOD DR",
            "city": "MARANA",
            "state": "AZ",
            "postal_code": "856538891",
            "telephone_number": "850-499-5098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 W GIACONDA WAY STE 103",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857044341",
            "telephone_number": "520-329-8830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEATHAM",
        "first_name": "SHANNON",
        "middle_name": "LEIGH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-07",
        "last_updated": "2021-02-07",
        "certification_date": "2021-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AZ",
            "license": "COTA-000026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shannon@milestoneAZ.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EHR billing",
            "address_1": "231 W Giaconda Way Ste 103",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857044341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2021; 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.