Individual provider Active NPI

Shima Washington, FNP-C, PMHNP-BC

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1295122307
Registry record updated Aug 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP7973 Issued in AZ
Practice address
350 W Thomas Rd
Phoenix, AZ 85013-4409
Phone
(602) 406-3000
NPI assigned
Apr 16, 2015
Last updated
Aug 31, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP7973 AZ Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP7973 AZ
Registered Nurse 163W00000X RN167056 AZ

Addresses

Primary practice location

350 W Thomas Rd
Phoenix, AZ 85013-4409

Mailing address

3800 S Alma School Rd Ste 112
Chandler, AZ 85248-4499
Phone (602) 900-9466

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160902000238 AZ Practitioner - Nurse Practitioner 9739494105 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Zion Specialty PLLCGroup PAC ID 4880074640, 12 clinicians
Community Bridges IncGroup PAC ID 2062699721, 106 clinicians

Practice addresses (Care Compare)

350 W Thomas Rd
Phoenix, AZ 85013-4409
Phone (602) 406-3000

560 S Bellview
RM BC
Mesa, AZ 85204-2504
Phone (480) 962-7711

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN167056AZMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Zion Specialty PLLC CurrentSince Sep 1, 2024 Accepting new patients
Zion Medical Group PLLC CurrentSince Aug 29, 2024 Accepting new patients
St. Joseph's Hospital and Medical Center CurrentSince Aug 30, 2020 Accepting new patients
Community Bridges, Inc. Current Accepting new patients
Community Bridges, Inc. Current Accepting new patients
Community Bridges, Inc. CurrentSince Nov 1, 2020 Accepting new patients
Community Bridges, Inc Current Accepting new patients
Community Bridges, Inc. Past Accepting new patients
Community Bridges, Inc. Past Accepting new patients
Community Bridges, Inc. Past Accepting new patients

Locations

824 N 99th Ave
Ste 105
Avondale, AZ 85323
Phone (602) 545-8247

3800 S Alma School Rd
Ste 112
Chandler, AZ 85248
Phone (480) 907-7707

7300 N 99th Ave
Glendale, AZ 85307
Phone (480) 339-5001

1100 E Monroe St
Globe, AZ 85501
Phone (480) 815-7074

1855 W Baseline Rd
Ste 101
Mesa, AZ 85202

358 E Javelina Ave
Ste 101
Mesa, AZ 85210
Phone (480) 507-3180

560 S Bellview
Rm B
Mesa, AZ 85204
Phone (480) 962-7711

2770 E Van Buren St
Phoenix, AZ 85008
Phone (602) 273-9999

2770 E Van Buren St
Rm Abd
Phoenix, AZ 85008
Phone (602) 273-9999

2770 E Van Buren St
Ste A
Phoenix, AZ 85008

350 W Thomas Rd
Phoenix, AZ 85013
Phone (480) 339-5001

250 S Toole Ave
Ste 110
Tucson, AZ 85701
Phone (520) 323-1212

250 S Toole Ave
Ste A
Tucson, AZ 85701
Phone (520) 323-1312

250 S Toole Ave
Ste B
Tucson, AZ 85701
Phone (520) 323-1312

250 S Toole Ave
Ste C
Tucson, AZ 85701
Phone (520) 323-1312

2950 N Dodge Blvd
Tucson, AZ 85716
Phone (520) 327-9863

3180 E 40th St
Yuma, AZ 85365
Phone (928) 341-0335

File 56765
Los Angeles, CA 90074

Interoperability endpoints

  • Direct secure messaging: shima.washingtonfnp.p1@direct.cbridges.nextgenshare.com

Organizations & group practices 10

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1429142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725062400000",
    "number": "1295122307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 S ALMA SCHOOL RD STE 112",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852484499",
            "telephone_number": "602-900-9466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 W THOMAS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134409",
            "telephone_number": "602-406-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "SHIMA",
        "credential": "FNP-C, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-16",
        "last_updated": "2024-08-31",
        "certification_date": "2024-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP7973",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP7973",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN167056",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.