Individual provider Active NPI

Shaley Moreira, NP

  • Family Nurse Practitioner
  • Tempe, AZ
National Provider Identifier
1861910481
Registry record updated Feb 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
MSL856836TX Issued in AZ
Practice address
1634 S Priest Dr Ste 101
Tempe, AZ 85281-6499
Phone
(480) 917-6480
NPI assigned
Sep 4, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X MSL856836TX AZ Primary

Addresses

Primary practice location

1634 S Priest Dr Ste 101
Tempe, AZ 85281-6499

Mailing address

7810 N 14TH PL Apt 3104
Phoenix, AZ 85020-4346
Phone (936) 545-3703

Other practice location 1

3501 N Scottsdale Rd Ste 230
Scottsdale, AZ 85251-5649
Phone (480) 970-1937

Other practice location 2

8410 W Thomas Rd Ste 134
Phoenix, AZ 85037-3374
Phone (623) 907-2377

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
MSL856836TXAZMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1504483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550707200000",
    "number": "1861910481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7810 N 14TH PL APT 3104",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850204346",
            "telephone_number": "936-545-3703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1634 S PRIEST DR STE 101",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852816499",
            "telephone_number": "480-917-6480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3501 N Scottsdale Rd Ste 230",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852515649",
            "country_code": "US",
            "telephone_number": "480-970-1937",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8410 W Thomas Rd Ste 134",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850373374",
            "country_code": "US",
            "telephone_number": "623-907-2377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOREIRA",
        "first_name": "SHALEY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-04",
        "last_updated": "2019-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "MSL856836TX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; 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.