Active NPI
Eunice Vesa
- Occupational Therapy Assistant
- Peoria, AZ
National Provider Identifier
1174072904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 6484
- Practice address
- 8765 W Kelton LN Ste 116
Peoria, AZ 85382-5008 - Phone
- (623) 977-4911
- NPI assigned
- Sep 21, 2016
- 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 |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 6484 | AZ | Primary |
Addresses
Primary practice location
8765 W Kelton LN Ste 116
Peoria, AZ 85382-5008
Mailing address
8765 W Kelton LN Ste 116
Peoria, AZ 85382-5008
Phone (623) 977-4911
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 |
|---|---|---|---|
| 6484 | AZ | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Partners LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474416000000",
"number": "1174072904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8765 W KELTON LN STE 116",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853825008",
"telephone_number": "623-977-4911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8765 W KELTON LN STE 116",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853825008",
"telephone_number": "623-977-4911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VESA",
"first_name": "EUNICE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-21",
"last_updated": "2016-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "AZ",
"license": "6484",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peoria, AZ
- Ventana Family Dentistry LLC
- Stephanie Vergara-Bermudez, LPN
- Vishal Verma, M.D
- Vernon T Mackey PC (Advanced Desert Dermatology)
- Vernon T Mackey, PC (Advanced Desert Dermatology)
- Vet Evals
- VHS of Arrowhead, Inc. (Abrazo Peoria Emergency Center)
- Victor Cosmetic and Family Dentistry LLC
- Elizabeth Vidales, DNP, FNP-C
- View Point Fairmont Village LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.