TODD ROBERT SHORTEN (NPI# 1982064515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982064515 |
| Entity Type | Individual |
| Full Name | TODD ROBERT SHORTEN |
| Credential | NP |
| Practice Address |
6153 W Olive Ave Glendale AZ 85302-4564 |
| Mailing Address |
3003 N Central Ave Ste 200 Phoenix AZ 85012-2914 |
| Practice Telephone | 6026856000 |
| Practice Fax Number | 6239372589 |
| Mailing Telephone | (602) 685-6000 |
| Enumeration Date | 2016-02-24 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP10286 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 277858 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8836 N 23rd Ave, B1, Phoenix, AZ 850214185 | 6026856000 | 6022167040 |
| Street Address |
6153 W OLIVE AVE |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85302-4564 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821049800 | Robert James Allen | Family Medicine | 6153 W Olive Ave, Glendale, AZ 85302-4564 | 2006-05-13 |
| 1982240040 | Leslie Billings | Counselor | 6153 W Olive Ave, Glendale, AZ 85302-4564 | 2019-11-25 |
| 1124677802 | Jessica Shetzen | Counselor | 6153 W Olive Ave, Glendale, AZ 85302-4564 | 2019-09-05 |
| 1396237640 | Troy Riutta | Nurse Practitioner | 6153 W Olive Ave, Glendale, AZ 85302-4564 | 2018-06-02 |
| 1629575683 | Christina Elliott | Nurse Practitioner | 6153 W Olive Ave, Glendale, AZ 85302-4564 | 2018-04-06 |
| 1164817987 | Valerie P Jackson | Social Worker | 6153 W Olive Ave, Glendale, AZ 85302-4564 | 2015-03-30 |
| 1972919397 | Susan Kinkel | Marriage & Family Therapist | 6153 W Olive Ave, Glendale, AZ 85302-4564 | 2014-07-07 |
| 1700292158 | Ray Young | Counselor | 6153 W Olive Ave, Glendale, AZ 85302-4564 | 2014-07-07 |
| 1073953659 | Mireya J Roe | Counselor | 6153 W Olive Ave, Glendale, AZ 85302-4564 | 2013-06-27 |
| 1104266782 | Kirstin Yates | Counselor | 6153 W Olive Ave, Glendale, AZ 85302-4564 | 2013-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235736190 | Tyler Davis LLC | Psychologist | 8607 N 59th Ave Suite C-6, Glendale, AZ 85302 | 2020-10-05 |
| 1679098420 | Sidney M Kingery | Physical Therapist | 5810 W Peoria Ave, Glendale, AZ 85302 | 2017-08-12 |
| 1255877825 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 5651 W. Harmont Dr, Glendale, AZ 85302 | 2017-01-06 |
| 1346696382 | Megan Mari Byrne | Chiropractor | 8425 N 61st Dr., Glendale, AZ 85302 | 2016-05-09 |
| 1558742007 | Farzan Mojgani | Dentist | 5929 W. Peoria Ave. Suite 101, Glendale, AZ 85302 | 2015-06-10 |
| 1255757308 | Glendale Modern Dentistry, LLP | Dentist | 5143 West Olive Ave, Suite 140, Glendale, AZ 85302 | 2014-03-13 |
| 1518391341 | Crystal Nicole-marie Whitman | Physical Therapy Assistant | 5411 W. Cinnabar Ave., Glendale, AZ 85302 | 2013-08-28 |
| 1013349570 | A New Leaf | Clinic/Center | 8581 N 61st Ave, Building A, Suite 101-102, Glendale, AZ 85302 | 2013-08-06 |
| 1255602439 | Alicia S Fennemore | Specialist/Technologist | 352 E. Camelback Rd., Suite 102, Phoenix, AZ 85302 | 2012-01-20 |
| 1639306731 | Total Medical Care, LLC | Clinic/Center | 5048 W. Northern Avenue, Suite 105, Glendale, AZ 85302 | 2009-06-16 |
| Find all providers in zip 85302 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154573 | Marcus Jang | Nurse Practitioner | 1130 E Colorado St Apt 214, Glendale, CA 91205-2092 | 2020-11-04 |
| 1245870799 | Logan Wellness Advanced Nursing Practice Corp | Nurse Practitioner | 655 N Central Ave # 1754, Glendale, CA 91203-1422 | 2020-01-13 |
| 1164901161 | Jesus Alexie Romero | Nurse Practitioner | 6266 W Blackhawk Dr, Glendale, AZ 85308-6798 | 2018-08-09 |
| 1194226928 | Adina Ramona Boros | Nurse Practitioner | 5625 W Bell Rd # 100, Glendale, AZ 85308-3878 | 2018-02-27 |
| 1780107433 | Mark Alan Logan | Nurse Practitioner | 107 1/2 N Columbus Ave, Glendale, CA 91203-2504 | 2017-07-24 |
| 1740702901 | Barbara Browder | Nurse Practitioner | 17505 N Glendale Ave, Glendale, AZ 85308 | 2017-07-10 |
| 1710413208 | Jhaurel Johnson White | Nurse Practitioner | 1510 S Central Ave Ste 600, Glendale, CA 91204-2548 | 2017-05-03 |
| 1508227687 | Lydia Christine Veratti | Nurse Practitioner | 17505 N 79th Ave Ste 203, Glendale, AZ 85308-8726 | 2016-03-16 |
| 1336536960 | Eric Tubat | Nurse Practitioner | 10329 W Montebello Ave, Glendale, AZ 85307-4313 | 2015-04-21 |
| 1760775837 | Susan E Harrell | Nurse Practitioner | 10270 N 67 Ave, Suite 106, Glendale, AZ 85302-1005 | 2011-05-24 |
| Find all providers in GLENDALE | ||||
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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.