Active NPI
Jean Ann Feeley, FNP-C
- Family Nurse Practitioner
- Tucson, AZ
National Provider Identifier
1124246210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN089886
- Practice address
- 6274 E Grant Rd
Tucson, AZ 85712-5831 - Phone
- (520) 296-8333
- Fax
- (520) 296-8444
- NPI assigned
- Apr 23, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN089886 | AZ | Primary |
Addresses
Primary practice location
6274 E Grant Rd
Tucson, AZ 85712-5831
Mailing address
2202 N Forbes Blvd
Tucson, AZ 85745-1412
Phone (520) 296-8333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 807240 | Medicaid | AZ |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN089886 | AZ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Step Center | Past | Accepting new patients | |
| Judy M Pinsonneault, D.O., P.C. | 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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311206400000",
"number": "1124246210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2202 N FORBES BLVD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857451412",
"telephone_number": "520-296-8333",
"fax_number": "520-296-8444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6274 E GRANT RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857125831",
"telephone_number": "520-296-8333",
"fax_number": "520-296-8444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEELEY",
"first_name": "JEAN",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-23",
"last_updated": "2011-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "RN089886",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "807240",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
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 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.