Active NPI
Tasneem Uzma Huda
- Physician Assistant
- Phoenix, AZ
National Provider Identifier
1720643737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 9167
- Practice address
- 9520 W Palm LN Ste 150
Phoenix, AZ 85037-4454 - Phone
- (602) 584-5444
- Fax
- (602) 584-6202
- NPI assigned
- May 6, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 47878 | GA | |
| Physician Assistant | 363A00000X | 9167 | AZ | Primary |
Addresses
Primary practice location
9520 W Palm LN Ste 150
Phoenix, AZ 85037-4454
Mailing address
9520 W Palm LN Ste 150
Phoenix, AZ 85037-4454
Phone (602) 584-5444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9167 | AZ | MD | Chiropractor |
Organizations & group practices 2
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.
-
- Cardiovascular Disease Physician
- Phoenix, AZ
- NPI 1942778766
-
- Cardiovascular Disease Physician
- Gainesville, GA
- NPI 1578839296
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656288000000",
"number": "1720643737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9520 W PALM LN STE 150",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850374454",
"telephone_number": "602-584-5444",
"fax_number": "602-584-6202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9520 W PALM LN STE 150",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850374454",
"telephone_number": "602-584-5444",
"fax_number": "602-584-6202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUDA",
"first_name": "TASNEEM",
"middle_name": "UZMA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-06",
"last_updated": "2022-06-27",
"certification_date": "2022-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "47878",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "AZ",
"license": "9167",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; 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.