Active NPI
Yvonne Completo
- Registered Nurse
- Phoenix, AZ
National Provider Identifier
1174021968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN143629
- Practice address
- 5217 W Spur Dr
Phoenix, AZ 85083-1285 - Phone
- (512) 785-0806
- NPI assigned
- Jan 26, 2018
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infusion Therapy Registered Nurse | 163WI0500X | RN143629 | AZ | |
| Wound Care Registered Nurse | 163WW0000X | RN143629 | AZ | |
| Ostomy Care Registered Nurse | 163WX1500X | RN143629 | AZ | |
| Registered Nurse | 163W00000X | RN143629 | AZ | Primary |
| Home Health Registered Nurse | 163WH0200X | RN143629 | AZ |
Addresses
Primary practice location
5217 W Spur Dr
Phoenix, AZ 85083-1285
Mailing address
5217 W Spur Dr
Phoenix, AZ 85083-1285
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 |
|---|---|---|---|
| RN143629 | AZ | MD | Wound Care Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516924800000",
"number": "1174021968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5217 W SPUR DR",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850831285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5217 W SPUR DR",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850831285",
"telephone_number": "512-785-0806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COMPLETO",
"first_name": "YVONNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-26",
"last_updated": "2018-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "163WI0500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Infusion Therapy",
"state": "AZ",
"license": "RN143629",
"primary": false
},
{
"code": "163WW0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Wound Care",
"state": "AZ",
"license": "RN143629",
"primary": false
},
{
"code": "163WX1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Ostomy Care",
"state": "AZ",
"license": "RN143629",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AZ",
"license": "RN143629",
"primary": true
},
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "AZ",
"license": "RN143629",
"primary": false
}
],
"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 Jan 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.