Organization Active NPI

Barbara a Cline, Pac

  • Physician Assistant
  • Cornville, AZ
National Provider Identifier
1396129789
Registry record updated Jul 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
AZ4243 Issued in AZ
Legal business name
BARBARA A CLINE, PAC
Practice address
1200 S Verde Santa Fe Pkwy
Cornville, AZ 86325-4925
Phone
(928) 202-7582
NPI assigned
Jul 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2015

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

Authorized official

Name
Barbara Cline
Title
PA-C
Phone
(928) 202-7582

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X AZ4243 AZ Primary

Addresses

Primary practice location

1200 S Verde Santa Fe Pkwy
Cornville, AZ 86325-4925

Mailing address

1200 S Verde Santa Fe Pkwy
Cornville, AZ 86325-4925
Phone (928) 202-7582

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1436918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436918400000",
    "number": "1396129789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 S VERDE SANTA FE PKWY",
            "city": "CORNVILLE",
            "state": "AZ",
            "postal_code": "863254925",
            "telephone_number": "928-202-7582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S VERDE SANTA FE PKWY",
            "city": "CORNVILLE",
            "state": "AZ",
            "postal_code": "863254925",
            "telephone_number": "928-202-7582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARBARA A CLINE, PAC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-15",
        "last_updated": "2015-07-15",
        "status": "A",
        "authorized_official_last_name": "CLINE",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "PA-C",
        "authorized_official_telephone_number": "928-202-7582"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "AZ4243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cornville, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2015; 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.