Individual provider Active NPI

Halle Eborall

  • Technician
  • Tempe, AZ
National Provider Identifier
1053154690
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
TechnicianTaxonomy code 374700000X
Practice address
60 E Rio Salado Pkwy Ste 900
Tempe, AZ 85281-9126
Phone
(480) 864-3733
NPI assigned
Jun 13, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Technician 374700000X Primary

Addresses

Primary practice location

60 E Rio Salado Pkwy Ste 900
Tempe, AZ 85281-9126

Mailing address

60 E Rio Salado Pkwy Ste 900
Tempe, AZ 85281-9126
Phone (480) 864-3733

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": "1718236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1053154690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 E RIO SALADO PKWY STE 900",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852819126",
            "telephone_number": "480-864-3733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 E RIO SALADO PKWY STE 900",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852819126",
            "telephone_number": "480-864-3733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBORALL",
        "first_name": "HALLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-13",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374700000X",
            "taxonomy_group": "",
            "desc": "Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.