IndividualActive
Shawnee Wilson, MA
NPI 1487246617 · Other Technician · Kayenta, AZ
Provider details
- NPI number
- 1487246617
- Entity type
- Individual
- Primary specialty
- Other TechnicianTechnologists, Technicians & Other Technical Service Providers
- Credential
- MA
- Sex
- Female
- Sole proprietor
- No
- License
- 1029958 (NM)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
394.3 US-160
Kayenta, AZ 86033
Phone: (928) 697-4000
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 405
Rock Point, AZ 86545-0405
Additional practice locations (1)
- Hwy 191, Hogan Circle Drive, Hs 461Rock Point, AZ 86545Phone: (928) 550-0529
Registry dates
- Enumerated
- 2021-02-09
- Last updated
- 2021-02-09
- Certified
- 2020-11-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.