Active NPI
D'Vonne Marie Isham, R.N.
- Registered Nurse
- Tolleson, AZ
National Provider Identifier
1225339583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN165464
- Practice address
- 10207 W Country Place Blvd
Tolleson, AZ 85353-8450 - Phone
- (602) 478-6126
- Fax
- (623) 478-6120
- NPI assigned
- Nov 3, 2010
- 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 | RN165464 | AZ | Primary |
Addresses
Primary practice location
10207 W Country Place Blvd
Tolleson, AZ 85353-8450
Mailing address
10207 W Country Place Blvd
Tolleson, AZ 85353-8450
Phone (602) 478-6126
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 |
|---|---|---|---|
| RN165464 | AZ | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288742400000",
"number": "1225339583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10207 W COUNTRY PLACE BLVD",
"city": "TOLLESON",
"state": "AZ",
"postal_code": "853538450",
"telephone_number": "602-478-6126",
"fax_number": "623-478-6120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10207 W COUNTRY PLACE BLVD",
"city": "TOLLESON",
"state": "AZ",
"postal_code": "853538450",
"telephone_number": "602-478-6126",
"fax_number": "623-478-6120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISHAM",
"first_name": "D'VONNE",
"middle_name": "MARIE",
"credential": "R.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-03",
"last_updated": "2010-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AZ",
"license": "RN165464",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tolleson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.