Abbra Lee Juarez

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LP054611 Issued in AZ

Practice address

9832 E Red Giant Dr
Mesa, AZ 85212-8997

Phone

(310) 954-6514

NPI assigned

Mar 30, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1245818335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9832 E RED GIANT DR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852128997",
            "telephone_number": "310-954-6514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9832 E RED GIANT DR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852128997",
            "telephone_number": "310-954-6514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUAREZ",
        "first_name": "ABBRA",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-30",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AZ",
            "license": "LP054611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Journey to the Soul PLLC
• Angela Rae Jowaiszas, P.T.
• Vicki J. Joyce, R.N.
• Jr Medical Group, PLC
• Brian Soongyong Ju, M.D.
• Erin Marie Juarez, M.A, BCBA
• Kathleen Juarez, RN
• Reita Jenae Juarez, LCSW
• Ayodeji Jubril, MD
• Chance Allan Judd, PA-C

• Licensed Practical Nurse in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Licensed Practical Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; 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.