Juniper Dery-Chaffin, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

6500 Issued in AZ

Practice address

1515 E Osborn Rd
Phoenix, AZ 85014-5309

Phone

(602) 604-0000

NPI assigned

Oct 3, 2016

Last updated

Nov 21, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

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

Specialty

Physician Assistant

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Connections Southernaz, LLCGroup PAC ID 2769874197, 25 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
• Direct secure messaging: juniper.dery-chaffin@mmconnections.contexture.medalliesmail.com

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.

• Connections Southernaz, LLC

  dba CRC-Outpatient Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tucson, AZ
  • NPI 1982362943
  Medicare reassignment Care Compare group NPD
• Escalera Health LLC

  dba Entune Behavioral Health

  • Family Medicine Physician
  • Tucson, AZ
  • NPI 1487146171
  Medicare reassignment NPD
• American Indian Association of Tucson, Inc.

  dba Tucson Indian Center

  • Federally Qualified Health Center (FQHC)
  • Tucson, AZ
  • NPI 1457935934
  NPD (past)
• Community Partners Integrated Healthcare, Inc.

  • Multi-Specialty Clinic/Center
  • Tucson, AZ
  • NPI 1669897385
  NPD (past)

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

{
    "created_epoch": "1475452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1457800302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1241 W KNOX PL",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857052505",
            "telephone_number": "520-465-7259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 E OSBORN RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850145309",
            "telephone_number": "602-604-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERY-CHAFFIN",
        "first_name": "JUNIPER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-03",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "6500",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "6500",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF ARIZONA LICENSE",
            "identifier": "6500",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anne Merrylees Dersch, MD
• Michael H Dershowitz, DPM
• Shockie M Dersno, LPC
• Jenna Derubeis, OD
• Ina Dervishi, MD
• Anish Kumar Desai, MD
• Dev M. Desai, M.D.
• Nima Manish Desai, M.D.
• Premal Jitendra Desai, M.D.
• Sachin Desai, MD

• Physician Assistant in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.