Active NPI
Shay Preble
- Physician Assistant
- Mesa, AZ
National Provider Identifier
1942971213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 9432
- Practice address
- 5850 E Still Cir
Mesa, AZ 85206-3618 - Phone
- (480) 219-6000
- NPI assigned
- Sep 25, 2021
- Last updated
- Apr 12, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 9432 | AZ | Primary |
Addresses
Primary practice location
5850 E Still Cir
Mesa, AZ 85206-3618
Mailing address
5850 E Still Cir
Mesa, AZ 85206-3618
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9432 | AZ | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Usacs of Colorado Inc | Emergency Medicine | Current | Accepting new patients |
Locations
4545 N Hunt Hwy
Florence, AZ 85132
Phone (480) 258-6100
1301 S Crismon Rd
Mesa, AZ 85209
Phone (480) 358-6300
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Mesa, AZ
- NPI 1164642963
-
- Emergency Medicine Physician
- Mesa, AZ
- NPI 1770392490
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681257600000",
"number": "1942971213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5850 E STILL CIR",
"city": "MESA",
"state": "AZ",
"postal_code": "852063618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5850 E STILL CIR",
"city": "MESA",
"state": "AZ",
"postal_code": "852063618",
"telephone_number": "480-219-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PREBLE",
"first_name": "SHAY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-25",
"last_updated": "2023-04-12",
"certification_date": "2023-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "9432",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
- Deepa Prasad, MD
- Kirstyn Prater, DNP
- Isaac Edmundson Pratt, DDS,MSD
- Eileen S Pratte, OTR/L
- Prayer Changes Things Community Health
- Precision Anesthesia LLC
- Precision Integrative Specialists & Oncology LLC (Preferred Integrative Specialists & Oncology LLC)
- Precision Neuro Monitoring LLC
- Precision Spine and Sports Rehabilitation, LLC
- Preethy Kunthara DDS PC (Simon Dental Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; 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.