Individual provider Active NPI

Nyla Jean Adair, LPN,DDC

  • Licensed Practical Nurse
  • Phoenix, AZ
National Provider Identifier
1124347661
Registry record updated May 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
LP045437 Issued in AZ
Practice address
1235 E Harmont Dr
Phoenix, AZ 85020-3864
Phone
(602) 331-1470
NPI assigned
May 24, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LP045437 AZ Primary

Addresses

Primary practice location

1235 E Harmont Dr
Phoenix, AZ 85020-3864

Mailing address

17617 N 9TH St
Apt. 1140
Phoenix, AZ 85022-1935
Phone (602) 633-2364

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

State licenses

LicenseStateTypeSpecialty
LP045437AZMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1274659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274659200000",
    "number": "1124347661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17617 N 9TH ST",
            "address_2": "APT. 1140",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850221935",
            "telephone_number": "602-633-2364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 E HARMONT DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850203864",
            "telephone_number": "602-331-1470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAIR",
        "first_name": "NYLA",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "LPN,DDC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-24",
        "last_updated": "2010-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AZ",
            "license": "LP045437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 24, 2010; 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.