Individual provider Active NPI

Maribel Picardo Vanderziel

  • Nurse's Aide
  • Chandler, AZ
National Provider Identifier
1093043176
Registry record updated Nov 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
1000007729 Issued in AZ
Practice address
3670 S Tower Ave
Chandler, AZ 85286-2672
Phone
(480) 802-4196
Fax
(480) 802-4196
NPI assigned
Nov 30, 2009
Last updated
Nov 30, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X 1000007729 AZ Primary

Addresses

Primary practice location

3670 S Tower Ave
Chandler, AZ 85286-2672

Mailing address

3670 S Tower Ave
Chandler, AZ 85286-2672
Phone (480) 802-4196

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

State licenses

LicenseStateTypeSpecialty
1000007729AZMDNurse's Aide

NPI Registry JSON

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

{
    "created_epoch": "1259539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259539200000",
    "number": "1093043176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3670 S TOWER AVE",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852862672",
            "telephone_number": "480-802-4196",
            "fax_number": "480-802-4196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3670 S TOWER AVE",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852862672",
            "telephone_number": "480-802-4196",
            "fax_number": "480-802-4196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERZIEL",
        "first_name": "MARIBEL",
        "middle_name": "PICARDO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-30",
        "last_updated": "2009-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "AZ",
            "license": "1000007729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.

Verify at the official NPI Registry.