Individual provider Active NPI

Jennifer Alvidrez, RN

  • School Registered Nurse
  • Tucson, AZ
National Provider Identifier
1073154696
Registry record updated Oct 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
RN215562 Issued in AZ
Practice address
Sunnyside Unified School District No. 12
2238 E. Ginter Road
Tucson, AZ 85706
Phone
(520) 545-2137
Fax
(520) 545-2120
NPI assigned
Oct 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X RN215562 AZ Primary

Addresses

Primary practice location

Sunnyside Unified School District No. 12
2238 E. Ginter Road
Tucson, AZ 85706

Mailing address

2238 E. Ginter Road
Tucson, AZ 85706
Phone (520) 545-2137

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
RN215562AZMDSchool Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Stepping Up Pediatric Physical Therapy PastSince Oct 6, 2019 Accepting new patients
Sunnyside Unified School District No. 12 PastSince Oct 6, 2019 Accepting new patients

Organizations & group practices 2

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": "1570147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570147200000",
    "number": "1073154696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2238 E. GINTER ROAD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85706",
            "telephone_number": "520-545-2137",
            "fax_number": "520-545-2120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SUNNYSIDE UNIFIED SCHOOL DISTRICT NO. 12",
            "address_2": "2238 E. GINTER ROAD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85706",
            "telephone_number": "520-545-2137",
            "fax_number": "520-545-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVIDREZ",
        "first_name": "JENNIFER",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-04",
        "last_updated": "2019-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "AZ",
            "license": "RN215562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 4, 2019; 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.