Organization Active NPI

Wilson School District

  • Registered Nurse
  • Phoenix, AZ
National Provider Identifier
1104987429
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN 026028 Issued in AZ
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
RN026028OtherAZRN LICENSES
786329OtherAZAHCCCS PROVIDER

Other names 1

  • Wilson Primary or Wilson Elementary Other name

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.