Active NPI
Josephine R Roundy, R.N,
- Home Health Registered Nurse
- Colorado City, AZ
National Provider Identifier
1154593903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- RN092607
- Practice address
- 50 East Garden Ave.
Colorado City, AZ 86021-0715 - Phone
- (435) 467-5012
- NPI assigned
- Apr 1, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | RN092607 | AZ | Primary |
Addresses
Primary practice location
50 East Garden Ave.
Colorado City, AZ 86021-0715
Mailing address
50 East Garden Ave
P O Box 715
Colorado City, AZ 86021-0715
Phone (435) 467-5012
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN092607 | AZ | MD | Home Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207008000000",
"number": "1154593903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 EAST GARDEN AVE",
"address_2": "P O BOX 715",
"city": "COLORADO CITY",
"state": "AZ",
"postal_code": "860210715",
"telephone_number": "435-467-5012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 EAST GARDEN AVE.",
"city": "COLORADO CITY",
"state": "AZ",
"postal_code": "860210715",
"telephone_number": "435-467-5012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROUNDY",
"first_name": "JOSEPHINE",
"middle_name": "R",
"credential": "R.N,",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-01",
"last_updated": "2008-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "AZ",
"license": "RN092607",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colorado City, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.