Active NPI
Wilson School District
- Registered Nurse
- Phoenix, AZ
National Provider Identifier
1104987429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN 026028
- Legal business name
- WILSON SCHOOL DISTRICT
- Practice address
- 2929 E Fillmore St
415 N. 30TH St
Phoenix, AZ 85008-6159 - Phone
- (602) 683-2500
- Fax
- (602) 275-8677
- NPI assigned
- Dec 12, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Shirley Patricia Hawkins, RN
- Title
- School Nurse
- Phone
- (602) 683-2500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN 026028 | AZ | Primary |
Addresses
Primary practice location
2929 E Fillmore St
415 N. 30TH St
Phoenix, AZ 85008-6159
Mailing address
3025 E Fillmore St
Phoenix, AZ 85008-6120
Phone (602) 683-2500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN026028 | Other | AZ | RN LICENSES |
| 786329 | Other | AZ | AHCCCS PROVIDER |
Other names 1
- Wilson Primary or Wilson Elementary
National Provider Directory
National Provider DirectoryLocations
3025 E Fillmore St
Phoenix, AZ 85008
2929 E Fillmore St
#415N
Phoenix, AZ 85008
Phone (602) 683-2500
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Contractor
- Phoenix, AZ
- NPI 1023156718
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1104987429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3025 E FILLMORE ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850086120",
"telephone_number": "602-683-2500",
"fax_number": "602-275-8677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2929 E FILLMORE ST",
"address_2": "415 N. 30TH ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850086159",
"telephone_number": "602-683-2500",
"fax_number": "602-275-8677"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILSON SCHOOL DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-12",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HAWKINS",
"authorized_official_first_name": "SHIRLEY",
"authorized_official_middle_name": "PATRICIA",
"authorized_official_title_or_position": "SCHOOL NURSE",
"authorized_official_telephone_number": "602-683-2500",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": "AZ",
"license": "RN 026028",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN LICENSES",
"identifier": "RN026028",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCCCS PROVIDER",
"identifier": "786329",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Wilson Primary or Wilson Elementary",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.