SHIRLEY GATTIS (NPI# 1356775548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356775548 |
| Entity Type | Individual |
| Full Name | SHIRLEY GATTIS |
| Credential | MAED |
| Practice Address |
4888 Barranca Arbolada Sierra Vista AZ 85635-5732 |
| Practice Telephone | 5204612629 |
| Mailing Telephone | 5204612629 |
| Enumeration Date | 2013-08-24 |
| Last Update Date | 2013-08-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 101YP1600X |
Counselor Specialization: Pastoral |
Behavioral Health & Social Service Providers | ||
| N | 101YS0200X |
Counselor Specialization: School |
Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 1041S0200X |
Social Worker Specialization: School |
Behavioral Health & Social Service Providers |
| Street Address |
4888 BARRANCA ARBOLADA |
| City | SIERRA VISTA |
| State | AZ |
| Zip Code | 85635-5732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134740640 | Taylor Anne Phelps | Student in an Organized Health Care Education/Training Program | Haven of Sierra Vista LLC, 660 Coronado Drive, Sierra Vista, AZ 85635 | 2020-05-06 |
| 1568001543 | Gp Medicine, Pllc | Family Medicine | 1800 E Wilcox Drive, Sierra Vista, AZ 85635 | 2019-12-23 |
| 1518515212 | Canyon Vista Dental | Dentist | 1993 S Frontage Road, Suite 208, Sierra Vista, AZ 85635 | 2019-08-27 |
| 1225697402 | Kristine Vincent Cruz Angeles | Dentist | 115 Calle Poral, Sierra Vista, AZ 85635 | 2019-06-11 |
| 1700397411 | Vivian Ryu | Social Worker | 2300 E Fry Blvd, #3822, Sierra Vista, AZ 85635 | 2017-10-20 |
| 1750806758 | Rosemary Nduta Kagwanja | Technician | 425 Bernini Avenue, N/a, Sierra Vista, AZ 85635 | 2017-08-10 |
| 1093245789 | Akdhc, LLC | Internal Medicine | 5555 Mesa Verde Dr, Suite 100, Sierra Vista, AZ 85635 | 2017-06-14 |
| 1609304633 | Vincent Guarino | Emergency Medicine | 5700 E, Az-90, Sierra Vista, AZ 85635 | 2017-06-04 |
| 1629506811 | Andrew Tang | Student in an Organized Health Care Education/Training Program | 5700 Arizona 90, Sierra Vista, AZ 85635 | 2017-06-01 |
| 1194259382 | Walik Hargett | Contractor | 800 N. Lenzner Ave Apt 776b, Sierra Vista, AZ 85635 | 2017-04-14 |
| Find all providers in zip 85635 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063960326 | Angelika Christine Babcock | Counselor | 3781 E Holly Pl, Sierra Vista, AZ 85650-5301 | 2016-09-15 |
| 1316300254 | Sarah Ochoa | Counselor | 5100 E Highway 90 Ste B, Sierra Vista, AZ 85635-2444 | 2016-03-29 |
| 1013317619 | Stephanie Mcinelly | Counselor | 2300 E Fry Blvd, #3694, Sierra Vista, AZ 85635-2858 | 2014-09-02 |
| 1750591285 | Susan R Rassas | Counselor | 451 Bartow Dr, Sierra Vista, AZ 85635-1838 | 2007-05-23 |
| 1316074164 | Geraldine Alexis | Counselor | 4755 Campus Dr, Sierra Vista, AZ 85635-2449 | 2007-02-28 |
| 1750484002 | Best Solutions, LLC | Counselor | 4341 S Highway 92 Unit F, Sierra Vista, AZ 85650-9399 | 2006-09-05 |
| 1467403980 | Jolynne Buehring | Counselor | 3965 E Foothills Dr, Suite C, Sierra Vista, AZ 85635-4252 | 2006-05-12 |
| 1114994050 | Patricia Diana Hoffman | Counselor | 75 N Garden Ave, Sierra Vista, AZ 85635-3805 | 2006-02-28 |
| 1023453446 | James Andrew Dunbar | Counselor | 4151 La Linda Way, Ste 102, Sierra Vista, AZ 85635-4600 | 2013-04-30 |
| 1144318247 | Mario Beltran Garcia | Counselor | 4341 S Highway 92, Suite F, Sierra Vista, AZ 85650-9399 | 2006-10-11 |
| Find all providers in SIERRA VISTA | ||||
| City | SIERRA VISTA |
| Zip Code | 85635 |
Please comment or provide details below to improve the information on SHIRLEY GATTIS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.