Individual provider Active NPI

Jahaz N Shine, NMD

  • Naturopath
  • Scottsdale, AZ
National Provider Identifier
1275073223
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
191767 Issued in AZ
Practice address
10155 E Via Linda # H136
Scottsdale, AZ 85258-5329
Phone
(480) 289-3694
Fax
(480) 289-3694
NPI assigned
Feb 24, 2017
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X ND874 CA
Naturopath 175F00000X 191767 AZ Primary

Addresses

Primary practice location

10155 E Via Linda # H136
Scottsdale, AZ 85258-5329

Mailing address

10155 E Via Linda # H136
Scottsdale, AZ 85258-5329
Phone (480) 289-3694

Other practice location 1

21803 N Scottsdale Rd Ste 200
Scottsdale, AZ 85255-7446
Phone (480) 473-7003

Other practice location 2

1423 S Higley Rd Ste 122
Mesa, AZ 85206-3450
Phone (480) 289-3690

Other practice location 3

3239 Adams Ave
San Diego, CA 92116-1645
Phone (619) 880-4829

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
191767AZMDNaturopath
ND874CAMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Alternative Healing Network, Inc. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1487894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1275073223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10155 E VIA LINDA # H136",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585329",
            "telephone_number": "480-289-3694",
            "fax_number": "480-289-3694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10155 E VIA LINDA # H136",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585329",
            "telephone_number": "480-289-3694",
            "fax_number": "480-289-3694"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21803 N Scottsdale Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852557446",
            "country_code": "US",
            "telephone_number": "480-473-7003",
            "fax_number": "480-473-4477",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1423 S Higley Rd Ste 122",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852063450",
            "country_code": "US",
            "telephone_number": "480-289-3690",
            "fax_number": "480-553-8993",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3239 Adams Ave",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921161645",
            "country_code": "US",
            "telephone_number": "619-880-4829",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHINE",
        "first_name": "JAHAZ",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "NMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-24",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "CA",
            "license": "ND874",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "AZ",
            "license": "191767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.