Active NPI
Evelyn Todacheene, RN
- Registered Nurse
- Teecnospos, AZ
National Provider Identifier
1194909499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- R25071
- Practice address
- JCT. US Hwy 160 & Navajo Route 35 Red Mesa
Teecnospos, AZ 86514 - Phone
- (928) 656-5165
- Fax
- (928) 656-5164
- NPI assigned
- Dec 21, 2007
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R25071 | NM | Primary |
Addresses
Primary practice location
JCT. US Hwy 160 & Navajo Route 35 Red Mesa
Teecnospos, AZ 86514
Mailing address
Box 30
HCR 6100
Teecnospos, AZ 86514
Phone (928) 656-5165
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R25071 | NM | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205366400000",
"number": "1194909499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BOX 30",
"address_2": "HCR 6100",
"city": "TEECNOSPOS",
"state": "AZ",
"postal_code": "86514",
"telephone_number": "928-656-5165",
"fax_number": "928-656-5164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "JCT. US HWY 160 & NAVAJO ROUTE 35 RED MESA",
"city": "TEECNOSPOS",
"state": "AZ",
"postal_code": "86514",
"telephone_number": "928-656-5165",
"fax_number": "928-656-5164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TODACHEENE",
"first_name": "EVELYN",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-21",
"last_updated": "2008-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NM",
"license": "R25071",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Teecnospos, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.