Active NPI
West Sedona Family Practice PLLC
- Physician Assistant
- Sedona, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 4243
- Legal business name
- WEST SEDONA FAMILY PRACTICE PLLC
- Practice address
- 2155 W State Route 89a Ste 116
Sedona, AZ 86336-5415 - Phone
- (928) 204-2540
- Fax
- (928) 204-9070
- NPI assigned
- Jan 28, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Barbara A Cline, PA-C
- Title
- Physician Assistant
- Phone
- (928) 204-2540
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 4243 | AZ | Primary |
Addresses
Primary practice location
2155 W State Route 89a Ste 116
Sedona, AZ 86336-5415
Mailing address
2155 W State Route 89a Ste 116
Sedona, AZ 86336-5415
Phone (928) 204-2540
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| E7287Z | Other | PROVIDER # | |
| 1164446043 | Other | AZ | INDIVIDUAL NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D2114996 | West Sedona Family Practice | Certificate of waiver | Jun 23, 2028 |
National Provider Directory
National Provider DirectoryLocations
2155 W State Route 89A
Ste 116
Sedona, AZ 86336
Phone (928) 204-2540
2155 W State Route 89A
Ste 113
Sedona, AZ 86336
Phone (602) 282-2964
120 Northview Rd
Ste A
Sedona, AZ 86336
Phone (928) 204-2540
Interoperability endpoints
- https://api.platform.athenahealth.com/13650/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- Sedona, AZ
- NPI 1164446043
-
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- Sedona, AZ
- NPI 1043277478
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- NPI 1013957240
-
- Foot & Ankle Surgery Podiatrist
- Sedona, AZ
- NPI 1891878716
-
- Family Nurse Practitioner
- West Hollywood, CA
- NPI 1598833899
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453939200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1734307200000",
"number": "1114384609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2155 W STATE ROUTE 89A STE 116",
"city": "SEDONA",
"state": "AZ",
"postal_code": "863365415",
"telephone_number": "928-204-2540",
"fax_number": "928-204-9070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2155 W STATE ROUTE 89A STE 116",
"city": "SEDONA",
"state": "AZ",
"postal_code": "863365415",
"telephone_number": "928-204-2540",
"fax_number": "928-204-9070"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEST SEDONA FAMILY PRACTICE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-01-28",
"last_updated": "2024-12-16",
"certification_date": "2024-12-16",
"status": "A",
"authorized_official_last_name": "CLINE",
"authorized_official_first_name": "BARBARA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
"authorized_official_telephone_number": "928-204-2540",
"authorized_official_credential": "PA-C"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "AZ",
"license": "4243",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER #",
"identifier": "E7287Z",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1164446043",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sedona, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.