Christina M Shim, NP

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

AP1158 Issued in AZ

Practice address

19636 N 27TH Ave Ste 306
Phoenix, AZ 85027-4019

Phone

(623) 869-8952

Fax

(623) 434-4169

NPI assigned

Jan 17, 2007

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891847174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9100 N 2ND ST STE 201",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850202450",
            "telephone_number": "602-395-1388",
            "fax_number": "602-395-1378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19636 N 27TH AVE STE 306",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274019",
            "telephone_number": "623-869-8952",
            "fax_number": "623-434-4169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIM",
        "first_name": "CHRISTINA",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "AZ",
            "license": "AP1158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shikan LLC
• Holly A Shill, M.D.
• Luke Shillig, DC
• Melissa Faye Shilling, LCSW
• Tiffany Amber Shilling, APRN
• Ethan Shim, MD
• Roy D Shim, D.D.S.
• Sara R Shimmin, M.D.
• Timothy Shimon, MD
• Agnes I Shin, PHARMD

• Legal Medicine in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Legal Medicine in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.