Organization Active NPI

Palo Verde

  • Local Education Agency (LEA)
  • Tucson, AZ
National Provider Identifier
1194043463
Registry record updated May 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
License
RN158546 Issued in AZ
Legal business name
PALO VERDE
Practice address
1302 E. Avenida Vega
Tucson, AZ 85710
Phone
(520) 584-7417
Fax
(520) 584-7401
NPI assigned
May 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Linda Dianne Kennison, RN
Title
School Nurse
Phone
(520) 584-7417

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X RN158546 AZ Primary

Addresses

Primary practice location

1302 E. Avenida Vega
Tucson, AZ 85710

Mailing address

1302 S Avenida Vega
Tucson, AZ 85710-5101
Phone (520) 584-7417

National Provider Directory

National Provider Directory

Locations

1302 S Avenida Vega
Tucson, AZ 85710
Phone (520) 548-7417

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1273622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273622400000",
    "number": "1194043463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 S AVENIDA VEGA",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857105101",
            "telephone_number": "520-584-7417",
            "fax_number": "520-584-7401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 E. AVENIDA VEGA",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85710",
            "telephone_number": "520-584-7417",
            "fax_number": "520-584-7401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALO VERDE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-12",
        "last_updated": "2010-05-12",
        "status": "A",
        "authorized_official_last_name": "KENNISON",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "DIANNE",
        "authorized_official_title_or_position": "SCHOOL NURSE",
        "authorized_official_telephone_number": "520-584-7417",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "AZ",
            "license": "RN158546",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.