Individual provider Active NPI

Abigail Villafane, RN

  • Administrator Registered Nurse
  • Tucson, AZ
National Provider Identifier
1043063761
Registry record updated May 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Administrator Registered NurseTaxonomy code 163WA2000X
License
RN214627 Issued in AZ
Practice address
4923 E Chickweed Dr
Tucson, AZ 85756-5178
Phone
(904) 401-2981
NPI assigned
Apr 10, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Administrator Registered Nurse 163WA2000X RN214627 AZ Primary

Addresses

Primary practice location

4923 E Chickweed Dr
Tucson, AZ 85756-5178

Mailing address

4923 E Chickweed Dr
Tucson, AZ 85756-5178
Phone (904) 401-2981

Other names 1

  • Abigail Roldan-Osorio Former name

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN214627AZMDAdministrator Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Griffin Transport, LLC. CurrentSince Apr 14, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1712707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714867200000",
    "number": "1043063761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4923 E CHICKWEED DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857565178",
            "telephone_number": "904-401-2981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4923 E CHICKWEED DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857565178",
            "telephone_number": "904-401-2981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLAFANE",
        "first_name": "ABIGAIL",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-10",
        "last_updated": "2024-05-05",
        "certification_date": "2024-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "AZ",
            "license": "RN214627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABIGAIL",
            "last_name": "ROLDAN-OSORIO",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2024; 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.