Individual provider Active NPI

Bethany Amber Pinkowski, RN

  • School Registered Nurse
  • Goodyear, AZ
National Provider Identifier
1245900265
Registry record updated Sep 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
140615 Issued in WI
Practice address
2801 N 135TH Ave
Goodyear, AZ 85395-3199
Phone
(623) 535-6400
NPI assigned
Sep 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 140615 WI Primary

Addresses

Primary practice location

2801 N 135TH Ave
Goodyear, AZ 85395-3199

Mailing address

272 E Sagebrush St
Litchfield Park, AZ 85340-4934
Phone (623) 535-6000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pinkowski@lesd.k12.az.us Direct

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

LicenseStateTypeSpecialty
140615WIMDSchool Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Litchfield School District #79 PastSince Sep 28, 2021 Accepting new patients
Corte Sierra Elementary School PastSince Sep 28, 2021 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1632096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632096000000",
    "number": "1245900265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "272 E SAGEBRUSH ST",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853404934",
            "telephone_number": "623-535-6000",
            "fax_number": "623-935-1448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 N 135TH AVE",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853953199",
            "telephone_number": "623-535-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINKOWSKI",
        "first_name": "BETHANY",
        "middle_name": "AMBER",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-20",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "WI",
            "license": "140615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pinkowski@lesd.k12.az.us",
            "affiliation": "N",
            "endpointDescription": "work mail address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Mail address",
            "address_1": "2801 N 135th Ave",
            "city": "Goodyear",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853953199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.