Active NPI
Shaida Zahra Sina, N.M.D.
- Family Medicine Physician
- Cornville, AZ
National Provider Identifier
1811190689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01-647
- Practice address
- 2530 W State RT 89a
Suite B1
Cornville, AZ 86336-5536 - Phone
- (928) 451-5416
- Fax
- (866) 644-6363
- NPI assigned
- Jun 7, 2007
- Last updated
- Nov 9, 2017
- 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 |
|---|---|---|---|---|
| Naturopath | 175F00000X | 01-647 | AZ | |
| Family Medicine Physician | 207Q00000X | 01-647 | AZ | Primary |
Addresses
Primary practice location
2530 W State RT 89a
Suite B1
Cornville, AZ 86336-5536
Mailing address
PO Box 208
Cornville, AZ 86325-5536
Phone (928) 649-0269
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01-647 | AZ | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510185600000",
"number": "1811190689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 208",
"city": "CORNVILLE",
"state": "AZ",
"postal_code": "863255536",
"telephone_number": "928-649-0269",
"fax_number": "866-644-6363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2530 W STATE RT 89A",
"address_2": "SUITE B1",
"city": "CORNVILLE",
"state": "AZ",
"postal_code": "863365536",
"telephone_number": "928-451-5416",
"fax_number": "866-644-6363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SINA",
"first_name": "SHAIDA",
"middle_name": "ZAHRA",
"name_prefix": "Dr.",
"credential": "N.M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-07",
"last_updated": "2017-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "AZ",
"license": "01-647",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "01-647",
"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 Nov 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.