Active NPI
Odilette Trevizo, RN, BSN
- Registered Nurse
- Tempe, AZ
National Provider Identifier
1093373284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN159708
- Practice address
- Beautiful You Med Spa
123 E Baseline Rd Ste D208
Tempe, AZ 85283 - Phone
- (602) 510-3948
- NPI assigned
- Jun 3, 2019
- 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 | RN159708 | AZ | Primary |
Addresses
Primary practice location
Beautiful You Med Spa
123 E Baseline Rd Ste D208
Tempe, AZ 85283
Mailing address
7115 W Darrow St
Laveen, AZ 85339-2636
Phone (602) 510-3948
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN159708 | Other | AZ | RN |
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
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN159708 | AZ | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566345600000",
"number": "1093373284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7115 W DARROW ST",
"city": "LAVEEN",
"state": "AZ",
"postal_code": "853392636",
"telephone_number": "602-510-3948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BEAUTIFUL YOU MED SPA",
"address_2": "123 E BASELINE RD STE D208",
"city": "TEMPE",
"state": "AZ",
"postal_code": "85283",
"telephone_number": "602-510-3948"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TREVIZO",
"first_name": "ODILETTE",
"credential": "RN, BSN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-03",
"last_updated": "2019-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AZ",
"license": "RN159708",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN",
"identifier": "RN159708",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.