Etipser L.L.C.

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

ETIPSER L.L.C.

Practice address

405 W Southern Ave
Suite #3
Tempe, AZ 85282-4500

Phone

(480) 612-4985

Fax

(480) 636-8504

NPI assigned

Nov 27, 2009

Organization subpart

No

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

Authorized official

Name

Lisa Lynn Shamah

Title

Administrator

Phone

(480) 612-4985

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1259280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259280000000",
    "number": "1881922086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 W SOUTHERN AVE",
            "address_2": "SUITE #3",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852824500",
            "telephone_number": "480-612-4985",
            "fax_number": "480-636-8504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 W SOUTHERN AVE",
            "address_2": "SUITE #3",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852824500",
            "telephone_number": "480-612-4985",
            "fax_number": "480-636-8504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETIPSER L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-27",
        "last_updated": "2009-11-27",
        "status": "A",
        "authorized_official_last_name": "SHAMAH",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "480-612-4985"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriel Estrada, LMT
• Sonya Etchamendy, RN
• Ethan N Lu MD PLLC
• Peyton Michelle Ethier, PT, DPT
• Samuel Etienne, DR., PA
• Krystle Connie Etri, N.D.
• Ben C. Eubank, D.C.
• James R Evans, PSYD
• Lily Nichole Evans
• Olivia Evans

• Early Intervention Provider Agency in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Early Intervention Provider Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2009; 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.