Active NPI
Kim Irene Daniel
- School Psychologist
- Tucson, AZ
National Provider Identifier
1235350398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- Practice address
- 1010 E 10TH Street
Tucson, AZ 85719 - Phone
- (520) 908-4400
- NPI assigned
- May 2, 2007
- Last updated
- Jan 26, 2011
- 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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | AZ | Primary |
Addresses
Primary practice location
1010 E 10TH Street
Tucson, AZ 85719
Mailing address
251 E. Paseo Celestial
Sahuarita, AZ 85629
Phone (520) 792-4107
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 584111 | Medicaid | AZ |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296000000000",
"number": "1235350398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "251 E. PASEO CELESTIAL",
"city": "SAHUARITA",
"state": "AZ",
"postal_code": "85629",
"telephone_number": "520-792-4107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 E 10TH STREET",
"city": "TUCSON",
"state": "AZ",
"postal_code": "85719",
"telephone_number": "520-908-4400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANIEL",
"first_name": "KIM",
"middle_name": "IRENE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-02",
"last_updated": "2011-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "AZ",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "584111",
"state": "AZ"
}
],
"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 Jan 26, 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.