Jeongyi Shin

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1992588891 Issued in TX

Practice address

546 E Sandy Lake Rd Ste 120
Coppell, TX 75019-5793

Phone

(469) 619-7192

NPI assigned

Aug 15, 2023

Last updated

Jan 16, 2026By the provider in NPPES

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

Other names 1

• Jina Shin Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Nahar Medical PLLC

  dba Candid Primary Care

  • Internal Medicine Physician
  • Coppell, TX
  • NPI 1528795218
  NPD (past)

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

{
    "created_epoch": "1692057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768521600000",
    "number": "1992588891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "546 E SANDY LAKE RD STE 120",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750195793",
            "telephone_number": "469-619-7192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "546 E SANDY LAKE RD STE 120",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750195793",
            "telephone_number": "469-619-7192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIN",
        "first_name": "JEONGYI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-15",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "1992588891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JINA",
            "last_name": "SHIN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ken Sharp, LPC
• Ashley Sheets, RN
• Rachel H Shepherd
• Mackenzie Elizabeth Sherwood
• Jian Shi
• Mina Shrestha, PT
• Shtaim MD Services PLLC
• Lisa W. Shumate, M.D.
• Siai, PLLC (Apex Interventional Pain and Spine)
• John P Sims, PT

• Physician Assistant in Coppell, TX
• Providers in Coppell, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.