Rachel Fairman, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

6293 Issued in AZ

Practice address

6520 W Happy Valley Rd
Suite B103
Glendale, AZ 85310-2615

Phone

(623) 825-3700

NPI assigned

Dec 4, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• VHS Outpatient Clinics, Inc.

  • Multi-Specialty Clinic/Center
  • Goodyear, AZ
  • NPI 1912979964
  Medicare reassignment NPD
• Pinnacle Family Medicine PLC

  • Family Medicine Physician
  • Litchfield Park, AZ
  • NPI 1639208325
  Medicare reassignment
• Pinnacle Family Medicine PLC

  • Family Medicine Physician
  • Peoria, AZ
  • NPI 1093590341
  NPD (past)

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

{
    "created_epoch": "1449187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486339200000",
    "number": "1659746493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6520 W HAPPY VALLEY RD",
            "address_2": "SUITE B103",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853102615",
            "telephone_number": "623-825-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6520 W HAPPY VALLEY RD",
            "address_2": "SUITE B103",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853102615",
            "telephone_number": "623-825-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIRMAN",
        "first_name": "RACHEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-04",
        "last_updated": "2017-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "6293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• F S Burgos MD PC
• Jason Facelo
• Fadda MD PLLC
• Marian Simisola Fagbemi, MD
• Linda Louise Failla, M.S.
• Zoey Fait
• Faithland Recovery Center LLC
• Jacob Aaron G Fajardo, RBT
• Chrstopher Falkiewicz
• Familt& Esthetic Dentistry

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.