Organization Active NPI

Madison School District #38

  • School Registered Nurse
  • Phoenix, AZ
National Provider Identifier
1245378264
Registry record updated Aug 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
RN048031 Issued in AZ
Legal business name
MADISON SCHOOL DISTRICT #38
Practice address
2002 E Campbell Ave
Phoenix, AZ 85016-5521
Phone
(602) 664-7220
Fax
(602) 664-7299
NPI assigned
Feb 2, 2007
Last updated
Aug 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2008

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

Authorized official

Name
Mrs. Diana Qualle Dellis, R.N., B.S.N.
Title
School Nurse
Phone
(602) 664-7220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WS0200X RN048031 AZ Primary

Addresses

Primary practice location

2002 E Campbell Ave
Phoenix, AZ 85016-5521

Mailing address

5601 N 16TH St
Phoenix, AZ 85016-2903
Phone (602) 664-7900

National Provider Directory

National Provider Directory

Locations

2002 E Campbell Ave
Phoenix, AZ 85016
Phone (602) 664-7220

5601 N 16th St
Phoenix, AZ 85016
Phone (602) 664-7900

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218585600000",
    "number": "1245378264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 N 16TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850162903",
            "telephone_number": "602-664-7900",
            "fax_number": "602-664-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 E CAMPBELL AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850165521",
            "telephone_number": "602-664-7220",
            "fax_number": "602-664-7299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON SCHOOL DISTRICT #38",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2008-08-13",
        "status": "A",
        "authorized_official_last_name": "DELLIS",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "QUALLE",
        "authorized_official_title_or_position": "SCHOOL NURSE",
        "authorized_official_telephone_number": "602-664-7220",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N., B.S.N."
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, School",
            "state": "AZ",
            "license": "RN048031",
            "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 Aug 13, 2008; 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.