Shelly Marie Lubbe

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

231901 Issued in AZ

Practice address

6003 E Fleming Springs Rd
Cave Creek, AZ 85331-8105

Phone

(775) 846-0611

NPI assigned

Mar 19, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1584576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584576000000",
    "number": "1902432180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 N 7TH ST STE 400",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062779",
            "telephone_number": "602-277-6181",
            "fax_number": "602-263-9528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6003 E FLEMING SPRINGS RD",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "853318105",
            "telephone_number": "775-846-0611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUBBE",
        "first_name": "SHELLY",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-19",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "823665",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "231901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurel Ann Lindberg, PHARM.D.
• Marc L. Lipovitch, PHARM.D
• Lisa Joy Gordon LLC
• Elizabeth P Loofbourrow, MFT
• Henry Frank Lopez Jr., PHARMD
• Kelly Lucas
• Maian Pediatrics,PLLC
• Traci Mancuso, APRN
• Megan E Marks
• Sean Maroney

• Nurse Practitioner in Cave Creek, AZ
• Providers in Cave Creek, AZ by specialty
• Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.