Individual provider Active NPI

Amy Lyn Zenizo, L.M.

  • Midwife
  • Tucson, AZ
National Provider Identifier
1215102645
Registry record updated Dec 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
0108 Issued in AZ
Practice address
4525 E Water St
Tucson, AZ 85712-2612
Phone
(520) 291-2982
NPI assigned
Apr 27, 2008
Last updated
Dec 20, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 0108 AZ Primary
Interpreter 171R00000X AZ12101326 AZ

Addresses

Primary practice location

4525 E Water St
Tucson, AZ 85712-2612

Mailing address

4525 E Water St
Tucson, AZ 85712-2612
Phone (520) 271-3008

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

LicenseStateTypeSpecialty
AZ12101326AZMDInterpreter
0108AZMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1209254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324339200000",
    "number": "1215102645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4525 E WATER ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122612",
            "telephone_number": "520-271-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4525 E WATER ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122612",
            "telephone_number": "520-291-2982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZENIZO",
        "first_name": "AMY",
        "middle_name": "LYN",
        "credential": "L.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-27",
        "last_updated": "2011-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "AZ",
            "license": "0108",
            "primary": true
        },
        {
            "code": "171R00000X",
            "taxonomy_group": "",
            "desc": "Interpreter",
            "state": "AZ",
            "license": "AZ12101326",
            "primary": false
        }
    ],
    "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 Dec 20, 2011; 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.