Organization Active NPI

Munich Healthcare

  • Family Nurse Practitioner
  • Sierra Vista, AZ
National Provider Identifier
1053790618
Registry record updated May 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP3000 Issued in AZ
Legal business name
MUNICH HEALTHCARE
Practice address
77 Calle Portal Ste B260A
Sierra Vista, AZ 85635-2998
Phone
(520) 226-4338
Fax
(866) 337-8432
NPI assigned
May 28, 2015
Last updated
May 28, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2015

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

Authorized official

Name
Georgette M George, FNP
Title
FNP
Phone
(520) 262-0048

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP3000 AZ Primary

Addresses

Primary practice location

77 Calle Portal Ste B260A
Sierra Vista, AZ 85635-2998

Mailing address

11411 W Burning Sage St
Marana, AZ 85653-8134
Phone (520) 262-0048

Other identifiers 1

IdentifierTypeStateIssuer
337108MedicaidAZ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1432771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432771200000",
    "number": "1053790618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11411 W BURNING SAGE ST",
            "city": "MARANA",
            "state": "AZ",
            "postal_code": "856538134",
            "telephone_number": "520-262-0048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 CALLE PORTAL STE B260A",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352998",
            "telephone_number": "520-226-4338",
            "fax_number": "866-337-8432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUNICH HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-28",
        "last_updated": "2015-05-28",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "GEORGETTE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "FNP",
        "authorized_official_telephone_number": "520-262-0048",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP3000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "337108",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sierra Vista, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2015; 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.