Individual provider Active NPI

Jessica D Schultz, M.D.

  • Pediatrics Physician
  • Tucson, AZ
National Provider Identifier
1104825801
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
33123 Issued in AZ
Practice address
5861 N Oracle Rd
Tucson, AZ 85704-3813
Phone
(520) 293-6686
Fax
(520) 887-1736
NPI assigned
Jul 15, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 33123 AZ Primary

Addresses

Primary practice location

5861 N Oracle Rd
Tucson, AZ 85704-3813

Mailing address

5861 N Oracle Rd
Tucson, AZ 85704-3813
Phone (520) 293-6686

Other identifiers 1

IdentifierTypeStateIssuer
915423MedicaidAZ

Other names 1

  • Jessica Moorman Dowse Former name

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
33123AZMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatrics GPS, Inc Pediatrics Past Accepting new patients
Al Shaafi Medical PC Pediatrics 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.

NPI Registry JSON

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104825801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5861 N ORACLE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857043813",
            "telephone_number": "520-293-6686",
            "fax_number": "520-887-1736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5861 N ORACLE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857043813",
            "telephone_number": "520-293-6686",
            "fax_number": "520-887-1736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "JESSICA",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "33123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "915423",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "DOWSE",
            "middle_name": "MOORMAN",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jul 8, 2007; 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.