Active NPI
Eduviges Joanicot
- School Counselor
- Somerton, AZ
National Provider Identifier
1164640900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Counselor
- License
- 3031852
- Practice address
- 708 E. Patricia St.
Somerton, AZ 85350 - Phone
- (928) 341-6041
- Fax
- (928) 341-6090
- NPI assigned
- Apr 24, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 3031852 | AZ | MD | School Counselor |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Counselor | 101YS0200X | 3031852 | AZ | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
708 E. Patricia St.
Somerton, AZ 85350
Mailing address
708 E. Patricia St.
Somerton, AZ 85350
Phone (928) 341-6041
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164640900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "708 E. PATRICIA ST.",
"city": "SOMERTON",
"state": "AZ",
"postal_code": "85350",
"telephone_number": "928-341-6041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "708 E. PATRICIA ST.",
"city": "SOMERTON",
"state": "AZ",
"postal_code": "85350",
"telephone_number": "928-341-6041",
"fax_number": "928-341-6090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOANICOT",
"first_name": "EDUVIGES",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "AZ",
"license": "3031852",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Somerton, 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.