Individual provider Active NPI

Christina Cousins, P.A.-C

  • Physician Assistant
  • Phoenix, AZ
National Provider Identifier
1922022813
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3306 Issued in AZ
Practice address
2201 E Camelback Rd Ste 101a
Phoenix, AZ 85016-3495
Phone
(888) 663-6331
Fax
(415) 252-7176
NPI assigned
Jul 26, 2006
Last updated
Mar 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 3306 AZ Primary

Addresses

Primary practice location

2201 E Camelback Rd Ste 101a
Phoenix, AZ 85016-3495

Mailing address

1 Embarcadero Ctr Ste 1900
San Francisco, CA 94111-3723
Phone (415) 658-6791

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
I20060214000304 AZ Practitioner - Physician Assistant 6305851270 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3306AZMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Iora Senior Health, LLC CurrentSince Sep 10, 2021 Accepting new patients
Iora Senior Health, LLC CurrentSince Sep 10, 2021 Accepting new patients
Deseret Family Medicine at Greenfield PLC PastSince Mar 20, 2022 Accepting new patients

Locations

2201 E Camelback Rd
Ste 101A
Phoenix, AZ 85016
Phone (602) 218-4075

3137 W Indian School Rd
Phoenix, AZ 85017
Phone (602) 325-5570

1 Embarcadero Ctr
Ste 1900
San Francisco, CA 94111

101 Tremont St
Fl 6
Boston, MA 02108

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EEEECD

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1922022813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EMBARCADERO CTR STE 1900",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941113723",
            "telephone_number": "415-658-6791",
            "fax_number": "480-654-5761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 E CAMELBACK RD STE 101A",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850163495",
            "telephone_number": "888-663-6331",
            "fax_number": "415-252-7176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUSINS",
        "first_name": "CHRISTINA",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "3306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.