Active NPI
Jesus Abraham Valtierra, FNP STUDENT
- Student in an Organized Health Care Education/Training Program
- San Luis, AZ
National Provider Identifier
1013833276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 1471 E Udall LN
San Luis, AZ 85336-0924 - Phone
- (928) 315-0859
- NPI assigned
- Jun 24, 2026
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | AZ | Primary |
Addresses
Primary practice location
1471 E Udall LN
San Luis, AZ 85336-0924
Mailing address
PO Box 8875
San Luis, AZ 85349-6835
Phone (928) 315-0859
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1782259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782259200000",
"number": "1013833276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8875",
"city": "SAN LUIS",
"state": "AZ",
"postal_code": "853496835",
"telephone_number": "928-315-0859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1471 E UDALL LN",
"city": "SAN LUIS",
"state": "AZ",
"postal_code": "853360924",
"telephone_number": "928-315-0859"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALTIERRA",
"first_name": "JESUS",
"middle_name": "ABRAHAM",
"credential": "FNP STUDENT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-06-24",
"last_updated": "2026-06-24",
"certification_date": "2026-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "AZ",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Luis, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.