Individual provider Active NPI

Wendy Olivia Teneza, REGISTERED NURSE

  • Neonatal Intensive Care Registered Nurse
  • Phoenix, AZ
National Provider Identifier
1154472264
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal Intensive Care Registered NurseTaxonomy code 163WN0002X
License
114741 Issued in AZ
Practice address
2800 N 44TH St
Phoenix, AZ 85008-1500
Phone
(602) 377-9960
Fax
(602) 234-0606
NPI assigned
Jan 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal Intensive Care Registered Nurse 163WN0002X 114741 AZ Primary

Addresses

Primary practice location

2800 N 44TH St
Phoenix, AZ 85008-1500

Mailing address

2023 W Wilshire Dr
Phoenix, AZ 85009-2805
Phone (602) 377-9960

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
114741AZMDNeonatal Intensive Care Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154472264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2023 W WILSHIRE DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850092805",
            "telephone_number": "602-377-9960",
            "fax_number": "602-234-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 N 44TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850081500",
            "telephone_number": "602-377-9960",
            "fax_number": "602-234-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENEZA",
        "first_name": "WENDY",
        "middle_name": "OLIVIA",
        "name_prefix": "Miss",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WN0002X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Neonatal Intensive Care",
            "state": "AZ",
            "license": "114741",
            "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 Jul 8, 2007; 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.