Active NPI
Azim Fatima
- Psychiatry Physician
- Dallas, TX
National Provider Identifier
1326363888
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 49106
- Practice address
- 7808 Clodus Fields Dr
Dallas, TX 75251-2206 - Phone
- (972) 991-9504
- NPI assigned
- Mar 28, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 653 | TN | |
| Psychiatry Physician | 2084P0800X | 49106 | TN | Primary |
Addresses
Primary practice location
7808 Clodus Fields Dr
Dallas, TX 75251-2206
Mailing address
8809 Sutton Dr
Frisco, TX 75035-8685
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | AZIM.FATIMA@hca7.eclinicaldirectplus.com |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49106 | TN | MD | Psychiatry Physician |
| 653 | TN | MD | Student in an Organized Health Care Education/Training Program |
Interoperability endpoints
- azim.fatima@hca7.eclinicaldirectplus.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643932800000",
"number": "1326363888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8809 SUTTON DR",
"city": "FRISCO",
"state": "TX",
"postal_code": "750358685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7808 CLODUS FIELDS DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752512206",
"telephone_number": "972-991-9504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FATIMA",
"first_name": "AZIM",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-28",
"last_updated": "2022-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "TN",
"license": "653",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TN",
"license": "49106",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "AZIM.FATIMA@hca7.eclinicaldirectplus.com",
"affiliation": "N",
"address_1": "7808 Clodus Fields Dr",
"city": "Dallas",
"state": "TX",
"country_code": "US",
"postal_code": "752512206",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.