Active NPI
Mary Jiaocma
- General Care Registered Respiratory Therapist
- Mesa, AZ
National Provider Identifier
1124496088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Care Registered Respiratory Therapist
- License
- 11499
- Practice address
- 533 W Guadalupe Rd Unit 1067
Mesa, AZ 85210-7761 - Phone
- (218) 230-4251
- NPI assigned
- Sep 9, 2015
- 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 |
|---|---|---|---|---|
| General Care Registered Respiratory Therapist | 2279G1100X | 11499 | AZ | Primary |
Addresses
Primary practice location
533 W Guadalupe Rd Unit 1067
Mesa, AZ 85210-7761
Mailing address
533 W Guadalupe Rd Unit 1067
Mesa, AZ 85210-7761
Phone (218) 230-4251
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11499 | AZ | MD | General Care Registered Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441756800000",
"number": "1124496088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "533 W GUADALUPE RD UNIT 1067",
"city": "MESA",
"state": "AZ",
"postal_code": "852107761",
"telephone_number": "218-230-4251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "533 W GUADALUPE RD UNIT 1067",
"city": "MESA",
"state": "AZ",
"postal_code": "852107761",
"telephone_number": "218-230-4251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JIAOCMA",
"first_name": "MARY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-09",
"last_updated": "2015-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "2279G1100X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Registered, General Care",
"state": "AZ",
"license": "11499",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.