1. Home
  2. Directory
  3. Arizona
  4. Phoenix
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile
  7. NPI Record 1588291298

SANDRA SHI
Complete NPI Record 1588291298
Student in an Organized Health Care Education/Training Program in Phoenix, AZ

NPI Status: Active since March 24, 2020

Contact Information

2000 W BETHANY HOME RD
PHOENIX, AZ
ZIP 85015
Phone: (623) 561-7279

Get Directions

Table of Contents

  1. NPI
  2. Entity Type Code
  3. Provider Last Name Legal Name
  4. Provider First Name
  5. Provider First Line Business Mailing Address
  6. Provider Business Mailing Address City Name
  7. Provider Business Mailing Address State Name
  8. Provider Business Mailing Address Postal Code
  9. Provider Business Mailing Address Country Code If outside U S
  10. Provider Business Mailing Address Telephone Number
  11. Provider First Line Business Practice Location Address
  12. Provider Business Practice Location Address City Name
  13. Provider Business Practice Location Address State Name
  14. Provider Business Practice Location Address Postal Code
  15. Provider Business Practice Location Address Country Code If outside U S
  16. Provider Business Practice Location Address Telephone Number
  17. Provider Enumeration Date
  18. Last Update Date
  19. Provider Gender Code
  20. Healthcare Provider Taxonomy Code 1
  21. Healthcare Provider Primary Taxonomy Switch 1
  22. Is Sole Proprietor
  23. NPI Certification Date

Complete NPI Dataset

This page represents the complete record for NPI 1588291298. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.

NPI: 1588291298
The last name of the provider. If the provider is an individual, this is the legal name.
Entity Type Code: 1
The first name of the provider, if the provider is an individual.
The middle name of the provider, if the provider is an individual.
Provider First Name: SANDRA
The first name of the provider, if the provider is an individual.
Provider First Line Business Mailing Address: 4401 HARVEY AVE
The first name of the provider, if the provider is an individual.
Provider Business Mailing Address City Name: WESTERN SPRINGS
The city name in the mailing address of the provider being identified.
Provider Business Mailing Address State Name: IL
The city name in the mailing address of the provider being identified.
Provider Business Mailing Address Postal Code: 605581646
The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
Provider Business Mailing Address Country Code If outside U S : US
Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Business Mailing Address Telephone Number: 7089418886
The last name of the provider. If the provider is an individual, this is the legal name.
Provider First Line Business Practice Location Address: 2000 W BETHANY HOME RD
The first name of the provider, if the provider is an individual.
Provider Business Practice Location Address City Name: PHOENIX
The name prefix or salutation of the provider if the provider is an individual; for example, Mr., Mrs., or Corporal.
Provider Business Practice Location Address State Name: AZ
The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.
Provider Business Practice Location Address Postal Code: 850152443
The first line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider first line location address’’.
Provider Business Practice Location Address Country Code If outside U S : US
The city name in the mailing address of the provider being identified.
Provider Business Practice Location Address Telephone Number: 6235617279
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address State name’’.
Provider Enumeration Date: 3/24/2020
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
Last Update Date: 3/24/2020
The country code in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address country code’’.
Provider Gender Code: F
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address telephone number’’.
Healthcare Provider Taxonomy Code 1: 390200000X
The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address fax number’’.
Healthcare Provider Primary Taxonomy Switch 1: Y
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Is Sole Proprietor: N
The city name in the location address of the provider being identified.
NPI Certification Date: 3/24/2020