NPIMap

Organization Active NPI

Pima County Health Dept

Doing business as Pima County WIC Flowing Wells Office

  • Nutrition Education Nutritionist
  • Tucson, AZ
National Provider Identifier
1205699790
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition Education NutritionistTaxonomy code 133NN1002X
Legal business name
PIMA COUNTY HEALTH DEPT
Doing business as
Pima County WIC Flowing Wells Office
Practice address
4500 N Old Romero Rd
Tucson, AZ 85705-2289
Phone
(520) 724-9545
NPI assigned
Feb 6, 2024
Organization subpart
Yes
Parent organization
PIMA COUNTY HEALTH DEPTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Authorized official

Name
Nikki L Cocroft
Title
Clinical Services Coordinator
Phone
(520) 724-7742

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Education NutritionistGroup: 193200000X MULTI-SPECIALTY GROUP 133NN1002X Primary

Addresses

Primary practice location

4500 N Old Romero Rd
Tucson, AZ 85705-2289

Mailing address

3950 S Country Club Rd
Tucson, AZ 85714-2099
Phone (520) 724-7742

Other names 1

  • Pima County WIC Flowing Wells Office Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pima Health System9 organizations share this tax ID, including this one
Part of
Pima Health System

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4500 N Old Romero Rd
Tucson, AZ 85705
Phone (520) 724-9545

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1707177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707177600000",
    "number": "1205699790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3950 S COUNTRY CLUB RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857142099",
            "telephone_number": "520-724-7742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 N OLD ROMERO RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857052289",
            "telephone_number": "520-724-9545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIMA COUNTY HEALTH DEPT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PIMA COUNTY HEALTH DEPT",
        "enumeration_date": "2024-02-06",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A",
        "authorized_official_last_name": "COCROFT",
        "authorized_official_first_name": "NIKKI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CLINICAL SERVICES COORDINATOR",
        "authorized_official_telephone_number": "520-724-7742"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pima County WIC Flowing Wells Office",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 6, 2024; 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.