Active NPI
Jenny P Phillips, RN
- Registered Nurse
- Tucson, AZ
National Provider Identifier
1073746939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN058625
- Practice address
- 2238 E. Ginter Road
Sunnyside Unified School District No. 12
Tucson, AZ 85706 - Phone
- (520) 545-2137
- Fax
- (520) 545-2120
- NPI assigned
- Aug 26, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN058625 | AZ | Primary |
Addresses
Primary practice location
2238 E. Ginter Road
Sunnyside Unified School District No. 12
Tucson, AZ 85706
Mailing address
2238 E. Ginter Road
Sunnyside Unified School District No. 12
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN058625 | AZ | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunnyside Unified School District No. 12 | Past | Accepting new patients | |
| Stepping Up Pediatric Physical Therapy | Past | 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.
-
- Physical Therapist
- Tucson, AZ
- NPI 1558426825
-
- Local Education Agency (LEA)
- Tucson, AZ
- NPI 1740378397
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251244800000",
"number": "1073746939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2238 E. GINTER ROAD",
"address_2": "SUNNYSIDE UNIFIED SCHOOL DISTRICT NO. 12",
"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": "2238 E. GINTER ROAD",
"address_2": "SUNNYSIDE UNIFIED SCHOOL DISTRICT NO. 12",
"city": "TUCSON",
"state": "AZ",
"postal_code": "85706",
"telephone_number": "520-545-2137",
"fax_number": "520-545-2120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "JENNY",
"middle_name": "P",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-26",
"last_updated": "2009-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AZ",
"license": "RN058625",
"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 Aug 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.