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MICHELLE DIBAISE PA-C
NPI 1568847267
Physician Assistant - Medical in Phoenix, AZ

Active since July 22, 2015
230 S 12TH AVE, HEALTHCARE FOR THE HOMELESS, PHOENIX, AZ 85007(602) 827-2420(602) 827-2425 Get Directions Write a Review

NPPES record last updated: July 22, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Michelle Dibaise Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHELLE DIBAISE PA-C (NPI 1568847267) is an individual medical provider in Phoenix, Arizona, licensed in Arizona (3633) and active in the NPI registry since July 2015.

NPPES Registry Identity

NPI1568847267
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMICHELLE DIBAISECredential: PA-C
Location Address230 S 12TH AVE, HEALTHCARE FOR THE HOMELESSPhoenix, AZ 85007-3101
Mailing Address550 N 3rd St # Street-2, Show Clinic #510 BbPhoenix, AZ 85004-2154
Phone(602) 827-2420
Fax(602) 827-2425
Sole ProprietorNo
Enumeration DateJuly 22, 2015
✔ NPI 1568847267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in AZ · 3633
230 S 12TH AVE, Phoenix, AZ 85007
Open in Google Maps ↗

Other Names 1

Former Name (1)Michelle Shumway Pa-c

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JAMES NATHAN MCKENNA DDS
Dentist
230 S 12TH AVE
PHOENIX, AZ 85007
Maricopa County (602) 362-0744
KRIS ANDREW VOLCHECK DDS
Dentist (General Practice)
230 S 12TH AVE
PHOENIX, AZ 85007
Maricopa County (602) 256-6945
BOBBY KEYVAN-JAFARI
Dentist (General Practice)
230 S 12TH AVE
PHOENIX, AZ 85007
Maricopa County (602) 362-0744
NASHID F AHMED
Dentist (General Practice)
230 S 12TH AVE
PHOENIX, AZ 85007
Maricopa County (602) 362-0744
DR. KRISTINE KEBER
Dentist
230 S 12TH AVE
PHOENIX, AZ 85007
Maricopa County (602) 362-0744
CENTRAL ARIZONA SHELTER SERVICES
Community/Behavioral Health
230 S 12TH AVE
PHOENIX, AZ 85007
Maricopa County (602) 256-6945
BRIGHTER WAY INSTITUTE
Dentist
230 S 12TH AVE
PHOENIX, AZ 85007
Maricopa County (602) 362-0744
MICHAEL ROSEN DMD AZ, PLLC
Dentist
230 S 12TH AVE
PHOENIX, AZ 85007
Maricopa County (602) 362-0744

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michelle Dibaise's NPI number?

The NPI number for Michelle Dibaise is 1568847267. It was assigned to this individual provider in the NPPES registry on July 22, 2015. The provider is also known as Michelle Shumway Pa-C.

Where is Michelle Dibaise located?

Michelle Dibaise practices at 230 S 12th Ave Healthcare For The Homeless, Phoenix, AZ 85007. The listed phone number is (602) 827-2420.

What is Michelle Dibaise's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Michelle Dibaise was last updated on July 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.