Individual provider Active NPI

Shaye Harrel, PA-C

  • Medical Physician Assistant
  • Phoenix, AZ
National Provider Identifier
1487025086
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
6201 Issued in AZ
Practice address
9305 W Thomas Rd Ste 478
Phoenix, AZ 85037-3375
Phone
(623) 236-8507
Fax
(623) 236-8508
NPI assigned
Oct 8, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 6201 AZ Primary

Addresses

Primary practice location

9305 W Thomas Rd Ste 478
Phoenix, AZ 85037-3375

Mailing address

9305 W Thomas Rd
Ste 478
Phoenix, AZ 85037-3375
Phone (623) 236-8507

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
I20151026000740 AZ Practitioner - Physician Assistant 4688983026 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph'S Hospital and Medical Center CurrentSince Aug 30, 2020 Accepting new patients
Banner Physician Specialists Arizona LLC CurrentSince Feb 1, 2017 Accepting new patients
Banner Physician Specialists Arizona LLC CurrentSince Feb 1, 2017 Accepting new patients
Banner Physician Specialists Arizona LLC Current Accepting new patients

Locations

1435 S Alma School Rd
Chandler, AZ 85286
Phone (480) 668-1600

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

9165 W Thunderbird Rd
Ste 200
Peoria, AZ 85381
Phone (623) 285-1120

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

10401 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 815-7690

File 56765
Los Angeles, CA 90074

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1444262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1487025086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9305 W THOMAS RD",
            "address_2": "STE 478",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850373375",
            "telephone_number": "623-236-8507",
            "fax_number": "623-236-8508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9305 W THOMAS RD STE 478",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850373375",
            "telephone_number": "623-236-8507",
            "fax_number": "623-236-8508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARREL",
        "first_name": "SHAYE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-08",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "6201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.