Tiffany Shorb

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP4664 Issued in AZ

Practice address

1717 W Northern Ave
Phoenix, AZ 85021-5469

Phone

(602) 535-8255

Fax

(602) 535-8254

NPI assigned

Feb 21, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1487635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487635200000",
    "number": "1902345127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5029 E RANCHO TIERRA DR",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "853315915",
            "telephone_number": "602-535-8255",
            "fax_number": "602-535-8254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 W NORTHERN AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850215469",
            "telephone_number": "602-535-8255",
            "fax_number": "602-535-8254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORB",
        "first_name": "TIFFANY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-21",
        "last_updated": "2017-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP4664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Sholem
• Steven L Sholem, MD
• Kayleigh Shondee, PT, DPT
• Deborah H Shoop
• Angela Shopmeyer
• Lawrence Israel Shore, MD
• Matthew D Shores, MD
• Elizabeth M Short, L.C.S.W.
• Kayleigh Short, D.M.D
• Kerry Short, FNP-BC

• Speech-Language Pathologist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Speech-Language Pathologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; 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.