Shelby Whiting, RN

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

261090 Issued in AZ

Practice address

4612 N 28TH St
Phoenix, AZ 85016-4999

Phone

(602) 764-7000

NPI assigned

Aug 30, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Shelby Ice Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1661817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1881314854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4539 W BEAUTIFUL LN",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853397318",
            "telephone_number": "661-427-8941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4612 N 28TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164999",
            "telephone_number": "602-764-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITING",
        "first_name": "SHELBY",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-30",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "AZ",
            "license": "261090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELBY",
            "last_name": "ICE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Edward Parker Whitfield, MD
• Martha Whitford, LISAC
• Tahany Whiting-Elakkad, DMD
• Devon Whiting, DNP
• Hannah Leann Whiting, PHARMACIST INTERN
• Thomas Trey Whiting, D.O
• Ashley Whitley
• Brent Whitley, APRN
• Renata Whitlock, PA-C
• Whitman Physical Therapy PLLC

• School Registered Nurse in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• School Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; 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.