SHANNEY SHONTTILE PORTER
NPI 1326232885
Respite Care - Respite Care, Mental Illness, Child in Phoenix, AZ

Active since August 28, 2007
4011 W SURREY AVE, PHOENIX, AZ 85029(602) 298-6987 Get Directions Write a Review

NPPES record last updated: August 28, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Shanney Shonttile Porter NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANNEY SHONTTILE PORTER (NPI 1326232885) is an individual respite care, mental illness, child provider in Phoenix, Arizona, licensed in Arizona (209618) and active in the NPI registry since August 2007.

NPPES Registry Identity

NPI1326232885
Entity TypeIndividualMale
Primary Taxonomy385HR2055X
Provider Legal NameSHANNEY SHONTTILE PORTER
Location Address4011 W SURREY AVEPhoenix, AZ 85029-1949
Mailing Address4011 W Surrey AvePhoenix, AZ 85029-1949 · (602) 298-6987
Sole ProprietorYes
Enumeration DateAugust 28, 2007
NPI 1326232885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRespite Care · Respite Care, Mental Illness, ChildRespite Care Facility
Taxonomy Code385HR2055X
License Licensed in AZ · 209618
Definition
A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers.
4011 W SURREY AVE, Phoenix, AZ 85029

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shanney Porter's NPI number?

The NPI number for Shanney Porter is 1326232885. It was assigned to this individual provider in the NPPES registry on August 28, 2007.

Where is Shanney Porter located?

Shanney Porter practices at 4011 W Surrey Ave, Phoenix, AZ 85029. The listed phone number is (602) 298-6987.

What is Shanney Porter's specialty?

The primary specialty registered for this NPI is Respite Care, specializing in Respite Care, Mental Illness, Child, with taxonomy code 385HR2055X.

When was this NPI record last updated?

The NPPES record for Shanney Porter was last updated on August 28, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.