Active NPI
Munich Healthcare
- Family Nurse Practitioner
- Sierra Vista, AZ
National Provider Identifier
1053790618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP3000
- 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, 2015
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 337108 | Medicaid | AZ |
National Provider Directory
National Provider DirectoryNPI 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.