Active NPI
Deborah Nnoli
- Personal Care Attendant
- Phoenix, AZ
National Provider Identifier
1205296712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- License
- 9065
- Practice address
- 3821 W Shumway Farm Rd
Phoenix, AZ 85041-6192 - Phone
- (602) 380-6619
- Fax
- (602) 276-1984
- NPI assigned
- Feb 25, 2016
- 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 |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | 9065 | AZ | Primary |
Addresses
Primary practice location
3821 W Shumway Farm Rd
Phoenix, AZ 85041-6192
Mailing address
3821 W Shumway Farm Rd
Phoenix, AZ 85041-6192
Phone (602) 380-6619
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Black Family and Child Services Inc | 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.
-
- Community/Behavioral Health Agency
- Phoenix, AZ
- NPI 1528438488
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456358400000",
"number": "1205296712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3821 W SHUMWAY FARM RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850416192",
"telephone_number": "602-380-6619",
"fax_number": "602-276-1984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3821 W SHUMWAY FARM RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850416192",
"telephone_number": "602-380-6619",
"fax_number": "602-276-1984"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NNOLI",
"first_name": "DEBORAH",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-02-25",
"last_updated": "2016-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "AZ",
"license": "9065",
"primary": true
}
],
"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 Feb 25, 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.