Individual provider Active NPI

Chia Li Shiao, DNP, FNP-C

  • Family Nurse Practitioner
  • Oro Valley, AZ
National Provider Identifier
1942917497
Registry record updated Apr 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
287012 Issued in AZ
Practice address
12480 N Rancho Vistoso Blvd Ste 180
Oro Valley, AZ 85755-1994
Phone
(520) 742-4008
NPI assigned
Nov 3, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2023

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 287012 AZ Primary

Addresses

Primary practice location

12480 N Rancho Vistoso Blvd Ste 180
Oro Valley, AZ 85755-1994

Mailing address

12480 N Rancho Vistoso Blvd Ste 180
Oro Valley, AZ 85755-1994
Phone (520) 742-4008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230426002136 AZ Practitioner - Nurse Practitioner 6709241706 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Arizona College of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arizona Pain Care Center PLLCGroup PAC ID 5496018921, 12 clinicians

Practice addresses (Care Compare)

12480 N Rancho Vistoso Blvd
Suite 180
Oro Valley, AZ 85755-1994
Phone (520) 742-4008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
287012AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Pain Care Center, PLLC CurrentSince Apr 3, 2023 Accepting new patients
Arizona Pain Care Associates LLC Past Accepting new patients
Andventure, LLC PastSince Feb 1, 2023 Accepting new patients
Andventure, LLC PastSince Sep 24, 2023 Accepting new patients

Locations

17100 N 67th Ave
Ste 600601
Glendale, AZ 85308
Phone (520) 742-4008

1055 N La Canada Dr
Ste 131
Green Valley, AZ 85614
Phone (520) 589-2039

12480 N Rancho Vistoso Blvd
Ste 180
Oro Valley, AZ 85755
Phone (520) 544-5130

5639 E Grant Rd
Tucson, AZ 85712
Phone (520) 615-3444

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BGEIBD

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1667433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1942917497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12480 N RANCHO VISTOSO BLVD STE 180",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857551994",
            "telephone_number": "520-742-4008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12480 N RANCHO VISTOSO BLVD STE 180",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857551994",
            "telephone_number": "520-742-4008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIAO",
        "first_name": "CHIA LI",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-03",
        "last_updated": "2023-04-27",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "287012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oro Valley, AZ

Sources for this page

Verify at the official NPI Registry.