Misty Shadduck, LPN
NPI 1043080476 · Licensed Practical Nurse · Mesa, AZ
Misty Shadduck, LPN is a Licensed Practical Nurse provider in Mesa, AZ (NPI 1043080476).
Provider details
- NPI number
- 1043080476
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- No
- License
- 32549101 (NY)
Specialties & taxonomies
Nursing Service Providers
Nursing Service Providers
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-01-05
- Last updated
- 2024-01-05
- Certified
- 2024-01-05
Frequently asked questions
- What is Misty Shadduck's NPI number?
- Misty Shadduck's National Provider Identifier (NPI) is 1043080476, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Misty Shadduck's specialty?
- Misty Shadduck is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse (Nursing Service Providers).
- Where is Misty Shadduck located?
- Misty Shadduck's practice location on file with NPPES is 455 N Mesa Dr Ste 8e, Mesa, AZ 85201-5996.
- What is Misty Shadduck's phone number?
- The practice phone number listed in the NPPES registry for Misty Shadduck is (937) 768-2544.
- Is Misty Shadduck's NPI active?
- Yes — Misty Shadduck's NPI (1043080476) is active in the NPPES registry as of the last update on 2024-01-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.