Individual provider Active NPI

Shannon Mayotte, BSN RN

  • Registered Nurse
  • Prescott Valley, AZ
National Provider Identifier
1992628903
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
243392 Issued in AZ
Practice address
3900 N Starlight Dr
Prescott Valley, AZ 86314-2493
Phone
(928) 759-4200
NPI assigned
Aug 4, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 243392 AZ Primary

Addresses

Primary practice location

3900 N Starlight Dr
Prescott Valley, AZ 86314-2493

Mailing address

6901 E Bear Path
Prescott Valley, AZ 86314-2739
Phone (928) 759-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1785801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1992628903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6901 E BEAR PATH",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863142739",
            "telephone_number": "928-759-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 N STARLIGHT DR",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863142493",
            "telephone_number": "928-759-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYOTTE",
        "first_name": "SHANNON",
        "credential": "BSN RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-04",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "243392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; 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.