Active NPI
Shannon Leigh Cheatham
- Occupational Therapy Assistant
- Tucson, AZ
National Provider Identifier
1861084261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- COTA-000026
- 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
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 |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| COTA-000026 | AZ | MD | Occupational Therapy Assistant |
Interoperability endpoints
- 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.