Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jake Shaneyfelt

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1275478927

Jake Shaneyfelt is a Student in an Organized Health Care Education/Training Program in Phoenix, Arizona. Works from 3 locations. Licensed in Arizona.

Licensed in
AZ
In the registry since
2026
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Practice location Address checks out

3100 N Central Ave
Phoenix, AZ 85012-2637
Phone: (602) 812-4312
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2601 E Roosevelt St, Phoenix, AZ 85008-4973 — (602) 344-5011
  • 350 W Thomas Rd, Phoenix, AZ 85013-4496 — (602) 406-3000

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (AZ)

Record details

NPI number1275478927
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 21, 2026
Last updated in NPPESApril 21, 2026
Certification dateApril 21, 2026
Mailing address4575 E Chisum Trl, Phoenix, AZ 85050-8527

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