Active NPI
Valerie Matthews, CRNFA
- Registered Nurse First Assistant
- Tucson, AZ
National Provider Identifier
1174698559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse First Assistant
- License
- RN 076668
- Practice address
- 11219 E Shady LN
Tucson, AZ 85749-9776 - Phone
- (520) 731-1083
- Fax
- (520) 207-2244
- NPI assigned
- Nov 21, 2006
- 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 |
|---|---|---|---|---|
| Registered Nurse First Assistant | 163WR0006X | RN 076668 | AZ | Primary |
Addresses
Primary practice location
11219 E Shady LN
Tucson, AZ 85749-9776
Mailing address
11219 E Shady LN
Tucson, AZ 85749-9776
Phone (520) 731-1083
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2437950 | Other | UNITED HEALTH | |
| 3570870 | Other | AETNA | |
| 2965198 | Other | CIGNA | |
| 995392 | Medicaid | AZ | |
| 2Z4057 | Other | HEALTH NET | |
| 107521 | Other | PACIFICARE | |
| AZ 0426700 | Other | AZ | BC & BS |
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 |
|---|---|---|---|
| RN 076668 | AZ | MD | Registered Nurse First Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475625600000",
"number": "1174698559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11219 E SHADY LN",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857499776",
"telephone_number": "520-731-1083",
"fax_number": "520-207-2244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11219 E SHADY LN",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857499776",
"telephone_number": "520-731-1083",
"fax_number": "520-207-2244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTHEWS",
"first_name": "VALERIE",
"credential": "CRNFA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-21",
"last_updated": "2016-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "163WR0006X",
"taxonomy_group": "",
"desc": "Registered Nurse, Registered Nurse First Assistant",
"state": "AZ",
"license": "RN 076668",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH",
"identifier": "2437950",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "3570870",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2965198",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "995392",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET",
"identifier": "2Z4057",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PACIFICARE",
"identifier": "107521",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC & BS",
"identifier": "AZ 0426700",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.