SHANTAYA BRIANA HULLABY
NPI 1417820887
Technician - Personal Care Attendant in Laveen, AZ

Active since September 24, 2025
4620 W BURGESS LN, LAVEEN, AZ 85339(602) 472-9815 Get Directions Write a Review

NPPES record last updated: September 24, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Shantaya Briana Hullaby NPPES

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

SHANTAYA BRIANA HULLABY (NPI 1417820887) is an individual personal care attendant in Laveen, Arizona and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1417820887
Entity TypeIndividualFemale
Primary Taxonomy3747P1801X
Provider Legal NameSHANTAYA BRIANA HULLABY
Location Address4620 W BURGESS LNLaveen, AZ 85339-1922
Mailing Address4620 W Burgess LnLaveen, AZ 85339-1922 · (602) 472-9815
Sole ProprietorNo
Enumeration DateSeptember 24, 2025
NPPES CertifiedSeptember 24, 2025
NPI 1417820887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
Definition

An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards

4620 W BURGESS LN, Laveen, AZ 85339

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse's Aide
4620 W BURGESS LN
LAVEEN, AZ 85339

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417820887, enumerated as an "individual" on September 24, 2025.

The provider is located at 4620 W BURGESS LN LAVEEN, AZ 85339 and the phone number is (602) 472-9815.

Technician with taxonomy code 3747P1801X and a focus in Personal Care Attendant.