MRS. SHAUNA MICHELLE GORMAN (NPI# 1801926985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801926985 |
| Entity Type | Individual |
| Full Name | MRS. SHAUNA MICHELLE GORMAN |
| Practice Address |
10810 N Tatum Blvd Suite 102-185 Phoenix AZ 85028-6055 |
| Mailing Address |
1031 E Westchester Dr Tempe AZ 85283-3038 |
| Practice Telephone | 6023262619 |
| Practice Fax Number | 6022976727 |
| Mailing Telephone | 4808629420 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2010-01-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
NONE | AZ | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | DEPT OF HEALTH SERVICES LICENSE | SLPA6317 | 01 |
| Street Address |
10810 N TATUM BLVD SUITE 102-185 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85028-6055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972643443 | Brittany Jo Ranger | Specialist/Technologist | 10810 N Tatum Blvd, Bldg102-185, Phoenix, AZ 85028-6055 | 2007-02-07 |
| 1346694676 | Pain Management and Wellness Institute, Pllc | Anesthesiology | 10810 N Tatum Blvd, Suite 102-302, Phoenix, AZ 85028-6055 | 2016-04-23 |
| 1457682387 | Linda Kay Mcdonald | Specialist/Technologist | 10810 N Tatum Blvd, #102-185, Phoenix, AZ 85028-6055 | 2010-01-15 |
| 1689894305 | Stacey Marie Lynch | Speech-Language Pathologist | 10810 N Tatum Blvd, Bldg 102-185, Phoenix, AZ 85028-6055 | 2007-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235626565 | Celice Korsten | Psychologist | 11020 N. Tatum Blvd., Ste. 100, Phoenix, AZ 85028 | 2018-04-23 |
| 1720591605 | Michele Kaplan | Counselor | 11640 N Tatum Blvd #3096, Phoenix, AZ 85028 | 2017-11-14 |
| 1154840304 | Faustino M. Gonzalez, Md PC | Anesthesiology | 11811 N. Tatum Blvd, Suite 3031, Phoenix, AZ 85028 | 2017-09-19 |
| 1679092514 | Savior Palliative Care LLC | Family Medicine | 4530 E Shea Blvd Ste 175, Phoenix, AZ 85028 | 2017-09-12 |
| 1437688892 | Harmony Behavioral Health | Behavioral Analyst | 3008 E Sierra St, Phoenix, AZ 85028 | 2017-06-08 |
| 1275949224 | Alexander D Garza | Podiatrist | 3101 E Shea Blvd Ste 220, Phoenix, AZ 85028 | 2014-07-09 |
| 1720418379 | Alyssa Hale | Occupational Therapy Assistant | 4600 East Shea Boulevard, Suite 101, Phoenix, AZ 85028 | 2013-11-19 |
| 1932534476 | Stephen Howard Garber | Otolaryngology | 9607 N. 43rd Way, Phoenix, AZ 85028 | 2013-09-03 |
| 1366798050 | Irna Lynn Shamos | Clinical Neuropsychologist | 4516 East Onyx Avenue, Arizona Psychological Diagnostics, Plc, Phoenix, AZ 85028 | 2012-07-31 |
| 1285930925 | Cathy Ann Payne | Nurse Practitioner | 11209 N Tatum Blvd Ste 260, Phoenix, AZ 85028 | 2011-01-27 |
| Find all providers in zip 85028 | ||||
| Taxonomy Code | 2355S0801X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Speech-Language Assistant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356951743 | Marlen Eilyn Murillo | Specialist/Technologist | 9150 W Indian School Rd # 150, Phoenix, AZ 85037-2384 | 2020-07-31 |
| 1619585411 | Risa Fly | Specialist/Technologist | 3700 N 24th St Ste 130, Phoenix, AZ 85016-6535 | 2020-07-17 |
| 1750916755 | Jessika Beltran Salazar | Specialist/Technologist | 7120 W Pioneer St, Phoenix, AZ 85043-7289 | 2020-03-10 |
| 1700419439 | Brandy Danielle Levy | Specialist/Technologist | 18242 N 5th Pl, Phoenix, AZ 85022-1012 | 2020-02-21 |
| 1639700115 | Sadie Merrill | Specialist/Technologist | 15201 N Central Ave, Phoenix, AZ 85022-3641 | 2020-02-03 |
| 1093346983 | Theresa Joan Trollinger | Specialist/Technologist | 16220 N 7th St Apt 3030, Phoenix, AZ 85022-6662 | 2020-01-29 |
| 1801436720 | Jordan Leigh Sonneborn | Specialist/Technologist | 1616 N Central Ave Apt 2459, Phoenix, AZ 85004-1670 | 2020-01-08 |
| 1790320141 | Anah Navarro | Specialist/Technologist | 5208 S 40th Pl, Phoenix, AZ 85040-3909 | 2019-11-08 |
| 1700427614 | Rosa Dalila Paz | Specialist/Technologist | 6454 W Blue Sky Dr, Phoenix, AZ 85083-7554 | 2019-10-02 |
| 1063060739 | Alondra Mata Bustillos | Specialist/Technologist | 3408 W Altadena Ave, Phoenix, AZ 85029-3228 | 2019-08-27 |
| Find all providers in PHOENIX | ||||
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| 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.