Jeanne Anne Church, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

14826 Issued in WY

Practice address

JCT. Hwy 160 & Navajo Route 35 - Red Mesa
Teec Nos Pos, AZ 86514

Phone

(928) 656-5000

Fax

(928) 656-5166

NPI assigned

Jul 27, 2010

Last updated

Jul 27, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1280188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280188800000",
    "number": "1093029431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HCR 6100 BOX 30",
            "city": "TEEC NOS POS",
            "state": "AZ",
            "postal_code": "86514",
            "telephone_number": "928-656-5000",
            "fax_number": "928-656-5166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JCT. HWY 160 & NAVAJO ROUTE 35 - RED MESA",
            "city": "TEEC NOS POS",
            "state": "AZ",
            "postal_code": "86514",
            "telephone_number": "928-656-5000",
            "fax_number": "928-656-5166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHURCH",
        "first_name": "JEANNE",
        "middle_name": "ANNE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-27",
        "last_updated": "2010-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WY",
            "license": "14826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robbie J. Besel, RN
• Frank Gerhardt Bieberly Jr., MD
• Stephen Malcolm Bowers, MD MPH
• Katie Brianne Bozarth, MSN, APRN, FNP-C
• Stephanie Lyn Busch, RN
• Christina Anna Clarke, LCSW
• Rhonda Ann Clay, RN
• Joy L Cooper, RN
• Douglas Andrew Cordel, DPT
• Laura Cottam Dewitt, O.D.

• Registered Nurse in Teec Nos Pos, AZ
• Providers in Teec Nos Pos, AZ by specialty
• Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2010; 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.